W ORK RECORD - Sree Chitra Tirunal Institute for Medical...
Transcript of W ORK RECORD - Sree Chitra Tirunal Institute for Medical...
SREE CHITRA TIRU NAL INSTITUTE FOR
MEDICAL SCIENCES AND TECHNOLOGY
T hiruvananthapu ram – 695011, India
W ORK RECORD
Name : DR. SUDIP DUTTA BAR UAH
Course : MCh
Discipline : CARDI O VASCU LAR AND THOR ACIC SURGERY
Year of Study : Jan 20 12 – Dec 2014
CERTIFICATE
I hereby certify that I have performed / assisted
all the procedures listed in the work record.
Place: Signature:
Date: Name : Dr. Sudip Dutta Baruah
Forwarded: The above candidate has satisfactorily
carried out the minimum required procedures.
Prof. Jayakumar K.,
Seal Head of the Department,
Department of CVTS,
SCTIMST,
Thiruvananthapuram
INDEX
S/NO CONTENTS PAGES
I. PROCEDURES PERFORMED 1
II. PROCEDURES ASSISTED 3
a) ADULT CARDIAC SURGERY 4
b) CONGENITAL CARDIAC 6 SURGERY
c) THORACIC & VASCULAR 9 SURGERY
d) MISCELLANEOUS PROCEDURES 10
III. CONFERENCESATTENDED& 11 PAPER PRESENTATION
IV. TABLES
a) CASES PERFORMED 12
b) CASES ASSISTED 14
V. INTERESTING CASES 71
PROCEDURES
PERFORMED
1
PROCEDURES PERFORMED
ASD CLOSURE 6
SINUS VENOSUS ASD CLOSURE + PAPVC 2
REROUTING
MITRAL VALVE REPLACEMENT 1
LIMA HARVEST 14
VENOUS GRAFT HARVEST 112
PD CATHETER INSERTION 4
STERNAL WIRE REMOVAL/ GRANULOMA 6
EXCISION/ SECONDARY SUTURING
LA & PA LINE REMOVAL 15
2
PROCEDURES
ASSISTED
3
ADULT CARDIAC SURGERY
CABG/ OPCAB 109/ 4
3 CABG WITH LINEAR PLICATION
2 CABG WITH BENTALL
1 CABG WITH DOUBLE PATCH REPAIR
5 MODIFIED BENTALL
1 SUPRACORONARY ASCENDING AORTIC REPLACEMENT
1 ANEURYSM EXCISION WITH AORTIPLASTY
FOREIGN BODY EXTRACTION WITH ASCENDING AORTIC
1 ANEURYSM EXCISION WITH AORTOPLASTY & AVR
1 CORONARY ARTERIOVENOUS FISTULA REPAIR
9 DVR
2 DVR WITH CABG
1 DVR WITH TVA
1 DVR WITH TVA & SUBMITRAL ANEURYSMAL REPAIR
27 MVR
2 MVR WITH CABG
4
MVR WITH TVA 5
1 MVR WITH ASD CLOSURE
6 REDO MVR
19 AVR
4 AVR WITH CABG
1 AVR WITH CABG & MV REPAIR
1 AVR WITH AORTOPLASTY
1 AVR WITH SEPTAL MYECTOMY
2 AVR WITH MV REPAIR
1 REDO AVR
4 MV REPAIR
1 MV & AV REPAIR
1 PULMONARY ARTERY REPAIR
1 PAVCD REPAIR
9 SVASD CLOSURE
8 OSASD CLOSURE
5
CONGENITAL HEART SURGERY
ICR 15
ICR WITH RVOT PATCH 5
ICR WITH MONOCUSP RECONSTRUCTION OF RVOT 10
ICR WITH UNIFOCALISATION 2
ICR WITH CONDUIT 3
RASTELLI PROCEDURE 1
ASO 4
ASO WITH VSD CLOSURE 3
ASO WITH TAPVC REPAIR 1
SC-TAPVC REPAIR 2
IC-TAPVC REPAIR 2
CARDIAC TAPVC REPAIR 2
MIXED TAPVC REPAIR 2
IC-TAPVC REPAIR WITH BDG 1
CORTRIATRIATUM REPAIR 2
TRUNCUS ARTERIOSUS REPAIR 1
INTERRUPTED AORTIC ARCH REPAIR 1
REIMPLANTATION OF ANOMALOUS RPA FROM AORTA 1
DOTTY’S AORTOPLASTY 1
AVR 1
6
REDO AVR 1
PVR 1
VSD CLOSURE 15
VSD WITH ASD CLOSURE 2
VSD CLOSURE WITH SAM EXCISION &AORTIC VALVE REPAIR 1
VSD CLOSURE WITH MV REPAIR & TVA 1
VSD CLOSURE WITH LSVC TRANSLOCATION TO RAA & CLOSURE OF
1 UNROOFED CS
PAVCD REPAIR 1
BIVENTRICULAR REPAIR FOR DORV WITH HOMOGRAFT 1
VSD ENLARGEMENT WITH TV REPAIR & BDG 1
EXTRACARDIAC TCPC 1
MV REPAIR WITH ASD CLOSURE 1
KAWASHIMA PROCEDURE WITH AVVR REPAIR 1
BDG 7
BDG WITH PA BANDING 1
BDG WITH CONE REPAIR 1
BDG WITH PA PLASTY 2
BDG WITH ATRIAL SEPTECTOMY & TVA 1
ATRIAL SEPTECTOMY WITH PA BANDING 1
RMBTS 3
COA 3
PA BANDING 5
WARDEN’S PROCEDURE 3
7
DOUBLE PATCH REPAIR 1
ASD CLOSURE WITH PULMONARY VALVOTOMY 1
TPP CLOSURE OSASD 4
8
THORACIC AND VASCULAR SURGERY
ENDOANEURYSMORRAPHY 1
BLAISDELL PROCEDURE 1
JUXTA RENAL ABDOMINAL AORTIC
1 ANEURYSM
LOBECTOMY 3
GERM CELL TUMOUR EXCISION 1
EXTRACTION OF GUIDE WIRE FROM RIGHT
1 COMMON FEMORAL ARTERY
ARTERIO VENOUS FISTULA CREATION 4
9
MISCELLANEOUS
DELAYED STERNAL CLOSURE 13
PPI IMPLANTATION 4
TRACHEOSTOMY 1
STRENAL WIRE REMOVAL 3
HOMOGRAFT HARVEST AND TRIMMING 6
PMMC FLAP REPAIR FOR NON HEALING STERNAL
2 WOUND
PERICARDIAL EFFUSION DRAINAGE 4
WOUND DEBRIDEMENT AND SECONDARYSUTURING 4
RESTERNOTOMY & CLOT EVACUATION 1
PD CATHETER INSERTION 6
LA & PA LINE REMOVAL 15
10
CONFERENCES ATTENDED & PAPER
PRESENTATION
� IACTS 2013 - The 59th Annual National
Conference of the Indian Association of
Cardiovascular and Thoracic Surgeons; 14-17 Feb
2013; Mumbai
“Ellis van Creveld Syndrome: Case Series
and Review of Literature”
� IACTS 2014 – The 60th Annual National
Conference of the Indian Association of
Cardiovascular and Thoracic Surgeons; 20-23 Feb
2014; Thiruvananthapuram
“Outcome and survival analysis of post-
infarction VSR: Our experience”
� Midterm CME of IACTS; 12-13 Sep
2014; Madurai
11
CASES PERFORMED
12
Sl.No. H. No. NAME AGE SEX DOS DIAGNOSIS PROCEDURE SUPERVISED BY
1 348405 THEERTHA ANISH 5 F 7‐Oct‐2013 ACHD, OS ASD, MILD PAH, GDLV, SR DIRECT CLOSURE OF ASD DR.THOMAS MATHEW
2 364139 RENJITH A T 25 M 22‐Jan‐2014 ACHD, OSASD, SR PERICARDIAL PATCH DR. BINEESH K.R.
4 334380 ASWIN S 5 M 10‐Jun‐2014 ACHD,OS ASD,GD LV, SR, B/L SVC
CLOSURE TPP CLOSURE OF OS ASD SABARINATH MENON(DR.)
5 366372 HANNA FATHIMAR. F 3 F 18‐Jun‐2014 ACHD,SV ASD, PAPVC RUPV & RMPV, GD LV, SR
DOUBLE PATCH REPAIR OF SV ASD SABARINATH MENON(DR.)
6 372053 HUSNA T 8 F 30‐Jun‐2014 ACHD, OS ASD, MILD PAH, SR ASD CLOSURE SABARINATH MENON(DR.)
7 373374 ALEENA.S 9 F 1‐Jul‐2014 ACHD, OSASD, SR ASD CLOSURE SABARINATH MENON(DR.)
8 373544 NAUHMAN BISHEER 14 M 21‐Aug‐2014 ACHD,SV ASD,PAPVC OF RUPV AND RMPV, SR DOUBLE PATCH REPAIR SABARINATH MENON(DR.)
9 378009 NIKITHA PS 25 F 03‐Sep‐2014 ACHD, OS ASD, SR TANNED PERICARDIAL PATCH CLOSURE OF OS ASD DR. BINEESH K.R.
13
CASES ASSISTED
14
Sl. No. HNO NAME AGE SEX DOS DIAGNOSIS PROCEDURE SURGEON
DR.THOMAS MATHEW
1 316013 DEVANANDA R.S.NAIR 3 F 14‐Feb‐2012 CCHD,TOF,GOOD PA,SR TRANS RA + PA ICR
DR.THOMAS MATHEW
2 290574 MOHAMMED RISWAN 5 M 29‐Feb‐2012 CCHD SI DC DORV SA AND BDG WITH PA BANDING
K. MUSCULAR VSD SEV PS SR
DR. JAYAKUMAR K
3 330063 CHANDRIKAMMAS. 63 F 15‐Mar‐ CAD DVD MILD LMCA OLD CABG X 3(LIMA TO LAD,RSVG
2012 AWMI GOOD LV FUNCTION TO RCA AT CRUX OM1)
SR DM HTN DYSLIPIDEMIA
B/L VARICOSE VEIN
DR. VIVEK V. PILLAI
4 337070 RUKKIYA C 45 F 15‐Mar‐ RHD SEV MS MILD MR MOD EMERGENCY MVR #27 SJM
2012 PAH ‐ P/BMV ACUTE WITH DIRECT ASD CLOSURE
SEVERE MR SEVERE MS
SEVERE PAH
DR. JAYAKUMAR K
5 328525 SASIV.D. 54 M 22‐Mar‐ CAD,TVD,GD LV,SR,DM CABG X 4(LIMA TO LAD, RSVG
2012 TO D,OM2,RCA)
DR. JAYAKUMAR K
6 338475 VENUGOPALANNAIR 56 M 23‐Mar‐ CAD, MILD LMCA, TVD, OLD CABG X 4 GRAFTS (LIMA TO
V. 2012 AWMI, GOOD LV, DM, HTN, LAD,RSVG TO D1,OM1,LPLB)
DLP, LEFT PVOD
DR. JAYAKUMAR K
7 338575 KRISHNAN KUTTY K. 76 M 23‐Mar‐ CAD,TVD,GD LV,SR,DM CABG X 4(LIMA TO LAD, RSVG
2012 TO D,OM2,RCA)
DR. VIVEK V. PILLAI
8 331858 MOHAMMEDALIM. 60 M 27‐Mar‐ CAD,TVD,GOOD LV,OLD CABG X 3(RSVG TO LAD,MAJ
2012 ACS,SR,DLP OM,DISTAL RCA)
SABARINATH MENON (DR.)
9 336048 MUSAFAR AHAMAD 12 M 14‐May‐ D,PAVCD,CLEFT AML,MOD ICR(CLEFT AML REPAIR +
2012 MR,MILD PAH,SR TANNED PERICARDIAL PATCH
CLOSURE OF OPASD)
15
Sl. No. HNO NAME AGE SEX DOS DIAGNOSIS PROCEDURE SURGEON
DR. BAIJU S.DHARAN
10 341715 ANANYA K.H. 0 F 14‐May‐ CONGENITAL MS, ATRIAL SEPTECTOMY + PA
2012 HYPOPLASTIC LV, VSD,TINY BANDING (22 MM )
ASD (P/BAS),SEV PAH,SR
DR.THOMAS MATHEW
11 324299 ELDREENA SAJU 3 F 28‐May‐ ACHD,DCVSD,MILD INF TRANS RA_PA ICR
2012 PS,MILD AR,NO PAH,SR
DR. PRAVEEN VARMA P.K.
12 295054 AYYAPPAN K 51 M 7‐Jun‐2012 RHD,P/CMV(1991),SEV AVR#25SJM+PMLP+CABG(RSV
CALCIFIC RE‐MS,MILD G TO MAJ OM)
AR,MOD PAH,FAIR LV/RV
FUNC,CAD,SVD,AF
DR. VARGHESE T.PANICKER
13 340740 JAMES K.M. 57 M 11‐Jun‐2012 SEV CAL AS,CAD,SVD,SR AVR # 23PM + CABG(RSVG TO
OM4 )
DR. JAYAKUMAR K
14 277233 SANTHA T V. 70 F 13‐Jun‐2012 CAD,TVD,MILD LVD,S/P CABG X 4( LIMA TO LAD, RSVG
MVR # 25 PM,AF,RENAL TO D1, OM1, PDA)
DYSFUNCTION, DM,HTN
DR. PRAVEEN VARMA P.K.
15 320722 RAJEEV P.N. 37 M 15‐Jun‐2012 RHD,MOD TO SEV MR, DVR( MVR # 25CHVP WITH
MILD TO MOD MS, MOD PMLP + AVR # 21CHVP )
AR, MILD PAH, DIL & GOOD
LV, AF
DR. PRAVEEN VARMA P.K.
16 342194 MADHAVAN NAIR K 59 M 18‐Jun‐2012 CAD,TVD,OLD IWMI,MILD CABG X 3( LIMA TO LAD, RSVG
MR,GOOD LV,SR,DM,DLP TO OM2, PDA)
16
Sl. No. HNO NAME AGE SEX DOS DIAGNOSIS PROCEDURE SURGEON
DR. PRAVEEN VARMA P.K.
17 8901226 SUBAIDA.P.A 42 F 20‐Jun‐2012 RHD,P/CMV('90),SEV CAL MVR # 25 SJM + PMLP
RE‐MS,MLD MR,MLD
PAH,GD LV,AF,NC
DR. JAYAKUMAR K
18 347348 KRISHNA PILLAI.G 60 M 20‐Jul‐2012 CAD TVD MILD MR FAIR LV CABG X 5(LIMA TO LAD, RSVG
SR TO D1, OM1, OM2 & RPDA)
DR. JAYAKUMAR K
19 340004 SAYED C 57 M 23‐Jul‐2012 CAD TVD GOOD LV SR CABG X 5 GRAFTS ( LIMA TO
LAD, RSVG TO D1, RI, OM1,
RPDA)
DR. JAYAKUMAR K
20 337029 RAJAMMAL C R. 59 F 25‐Jul‐2012 CAD, TVD, MILD AR & TR, CABG X 5 GRAFTS( RSVG TO
GD LV, SR LAD, MAJ DIAG, MAJ OM,
SEQUENTIAL GRAFTS TO RCA &
RPDA)
DR. VARGHESE T.PANICKER
21 343726 PHILIP N P 67 M 27‐Jul‐2012 SEV AR, MILD MR, DILATED AVR # 21 CE PERIMOUNT
LV, MILD LVD, NC MAGNA
DR. VARGHESE T.PANICKER
22 345129 SAJI S 36 M 27‐Jul‐2012 BAV, SEV AR, MILD MR & AVR # 25 CHVP
TR, DILATED LV, MILD LV
DYSFUNCTION, SR
DR. UNNIKRISHNAN.M
23 345746 NANU M 52 M 31‐Jul‐2012 CONTAINED RUPTURE OF ENDOANEURYSMORRAPPHY+
ABDOMINAL AORTIC LEFT RENAL VEIN DIVISION +
ANEURYSM WITH INFERIOR MESENTERIC ARTERY
LT.COMMON ILIAC ARTERY REIMPLANTATION UNDER
OCCLUSION INTERRENAL CLAMP
17
Sl. No. HNO NAME AGE SEX DOS DIAGNOSIS PROCEDURE SURGEON
DR. VARGHESE T.PANICKER
24 348230 FRANCIS A. 55 M 2‐Aug‐2012 BAV SEVERE CALCIFIC AS, AVR # 23 C‐E PERIMOUNT
MOD TO SEVERE LV PERICARDIAL BIOPROSTHESIS
DYSFUNCTION, CHB, S/P AORTIC
TPI, NC
DR. JAYAKUMAR K
25 347300 SUBAIDA BEEVI .N 53 F 6‐Aug‐2012 CAD, LMCA, TVD, MILD AS, CABG X 5( LIMA TO LAD, RSVG
GOOD LV, DM, HTN, TO D1, RI, MAJ OM, RPDA )
HYPOTHYROIDISM
DR. JAYAKUMAR K
26 343891 RAMACHANDRAN M. 63 M 8‐Aug‐2012 CAD,TVD,GD LV,SR,DM,DLP CABG X 5 ( LIMA TO LAD, RSVG
TO MAJ DIAG, INFERIOR
BRANCH OF MAJ OM, PDA, PLB
)
DR. JAYAKUMAR K
27 343394 GERTY ANTO 63 F 16‐Aug‐2012 CAD, TVD, RECENT ACS, GD CABG X 5 ( LIMA TO LAD, RSVG
LV, SR, HTN TO D2, MAJ OM, RPDA, RPLB )
DR. PRAVEEN VARMA P.K.
28 333920 SASI.T 53 M 17‐Aug‐2012 BAV, SEV CAL AS,MILD AVR # 21CHVP
AR,GOOD LV,CHB,S/P PPI
DR. VIVEK V. PILLAI
29 344168 MANIYAN A P 65 M 22‐Aug‐2012 SEV CAL AS,MILD AR,MILD AVR # 21 C‐ E PERIMOUNT
MR,GOOD
LV,SR,NC,DUODENAL
EROSIONS, HTN, DM
SABARINATH MENON (DR.)
30 350029 YALINI R. 2 F 16‐Sep‐2012 D‐TGA, P/BAS, S/P ASO + DELAYED STERNAL CLOSURE
ASD MADE RESTRICTIVE
WITH STENTED STERNUM
18
Sl. No. HNO NAME AGE SEX DOS DIAGNOSIS PROCEDURE SURGEON
DR. BAIJU S.DHARAN
31 219391 ASLAM MUHAMED.S. 10 M 15‐Oct‐2012 EBSTEIN'S ANOMALY, MOD CONE REPAIR OF TRICUSPID
TR, OSASD, 2ND DEGREE AV VALVE + BDG
BLOCK
DR. THOMAS MATHEW
32 352329 B/O BRIJIT 0 M 25‐Oct‐2012 PA, IVS,PDA DEP PUL CIR EMERGENCY RMBTS (3MM
S/P PDA STENT, PDA PTFE ) + LPA BOVINE
SPASM, ARCH INJURY( PERICARDIAL PATCH PLASTY +
LACERATION OF LEFT LEFT SCA LIGATION + PDA
SUBCLAVIAN A ORIGIN ) STENT EXTRACTION +PDA
INTERRUPTIONUNDER TCA
DR. BAIJU S.DHARAN
33 347788 SHINU B.S. 2 M 29‐Oct‐2012 ACHD, MALALIGNED GORETEX PATCH CLOSURE VSD
SAVSD, SEV PAH, SR + PFO OPEN
DR. VARGHESE T.PANICKER
34 348360 SASIDHARAN ACHARI 58 M 1‐Nov‐2012 SEV CAL AS, MILD AR, MOD AVR# 23PM
R MR, FAIR LV, SR, NC
35 350732 JALAPUTHRAN D. 47 M 7‐Nov‐2012 CAD, TVD, GOOD LV, CABG X 3 GRAFTS( LIMA TO
P/PTCA‐LAD & RI, ISR, SR LAD, RSVG TO RI & PDA)
DR. VIVEK V. PILLAI
36 348781 THANKAPPAN K.V 54 M 7‐Nov‐2012 CALCIFIC AORTIC AVR # 27 MH MECHANICAL
VALVE,SEV AR,MOD AS, HEART VALVE + AORTOPLASTY
DILATED & GOOD LV,SR,NC
DR. PRAVEEN VARMA P.K.
37 333825 ALAKUMUTHU M. 52 M 7‐Nov‐2012 P/MVREPAIR FOR MR,NOW REDO STERNOTOMY ‐ RING
MILD MR WITH EXPLANTATION+ MVR#
HEMOLYSIS,GOOD 27SJM+PMLP
LV,SR,HTN
19
Sl. No. HNO NAME AGE SEX DOS DIAGNOSIS PROCEDURE SURGEON
DR. JAYAKUMAR K
38 345369 CHAMI C 77 M 16‐Nov‐ CAD, TVD, GD LV, MILD AR, CABG X 5 (LIMA TO LAD, RSVG
2012 SR, HTN, DM, DLP TO MAJ D, OM1, OM2 & RPDA)
DR. JAYAKUMAR K
39 352932 ANIL KUMAR .A 43 M 16‐Nov‐ CAD, TVD, OLD AWMI, CABG X 5 ( LIMA TO LAD, RSVG
2012 MOD LVD, HTN, SR TO OM1, MAJ DIAG, RI & LPDA
)
DR. SIDHARTH
40 353033 VASANTHAN .G 50 M 16‐Nov‐ CKD RIGHT 'SNUFF‐BOX' RADIO‐
2012 CEPHALIC AV FISTULA VISWANATHAN
CREATION
DR. JAYAKUMAR K
41 345543 SUBRAMANIAN G 62 M 19‐Nov‐ CAD, TVD, OLD AWMI, GD CABG X 5 ( LIMA TO LAD, RSVG
2012 LV, SR, HTN, DLP TO RPDA, OM3, OM1 & MAJ
DIAG )
DR. JAYAKUMAR K
42 352287 RAMACHNADRAN B 58 M 19‐Nov‐ CAD, LMCA, TVD, CABG X 4 ( LIMA TO LAD, RSVG
2012 RECURRENT UNSTABLE TO TERM OM, MAJ OM, MAJ
ANGINA, GD LV, SR, DM, DIAG )
HTN, DLP
DR. JAYAKUMAR K
43 351128 SAIDALAVI K 44 M 20‐Nov‐ CAD, TVD, AWMI, MOD TO CABG X 4 ( LIMA TO LAD, RSVG
2012 SEV LVD, SR, DLP TO MAJ OM, RCA & MAJ
DIAGONAL )
DR. JAYAKUMAR K
44 345299 PARAMESWARAN A 57 M 22‐Nov‐ CAD, TVD, MOD LVD, OLD CABG X 4 ( LIMA TO LAD, RSVG
2012 IWMI, RECURRENT ACS, SR, TO D1, MAJ OM & RPDA )
MILD PVOD
20
Sl. No. HNO NAME AGE SEX DOS DIAGNOSIS PROCEDURE SURGEON
DR. VARGHESE T.PANICKER
45 348262 SURENDRA NATHAN 70 M 26‐Nov‐ SEV CAL AS, CAD, SVD, AVR # 21 PERIMOUNT
K.K. 2012 GOOD LV, SR, HTN,
HYPOTHYROIDISM
DR. JAYAKUMAR K
46 228317 SATHYASEELAN NAIR 70 M 7‐Dec‐2012 CAD,TVD,IWMI,GOOD CABG X 5( LIMA TO LAD, RSVG
M. LV,SR,HTN TO OM1, OM2, RPDA & MAJ
DIAG PIGGY BACK TOOM1 )
DR. PRAVEEN VARMA P.K.
47 344561 MUSTAFA K P. 45 M 11‐Dec‐2012 CAD, LMCA, TVD, AWMI, CABG X 3 ( RSVG TO LAD, D1,
FAIR LV, SR, HTN, DM, DLP MAJ OM, LAD PIGGY BACK TO
D1 )
DR.MANISH MATHEW
48 342907 RAJEENA R. 37 F 11‐Dec‐2012 ACHD,SV ASD,PAPVC OF DOUBLE PATCH CLOSURE OF
RUPV, ADDL. OSASD, MILD SVASD + PAPVC REROUTING
PAH,GOOD LV,SR AND DIRECT CLOSURE OF
OSASD.
DR. JAYAKUMAR K
49 311018 SUDHAKARAN G 52 M 13‐Dec‐2012 CAD, TVD, P/PCI TO RCA, CABG X 4 ( LIMA TO LAD &
GD LV, SR, DM, HTN, DLP RSVG TO MAJ DIAG, OM1 &
RPDA )
DR. PRAVEEN VARMA P.K.
50 9507564 BINDU.C 31 F 18‐Dec‐2012 RHD, SEV MS, S/P‐ PM # 27 VALVE EXPLANTATION
MVR(03), GOOD LV, MILD + REDO MVR 27#SJM
AR/MR/TR, SR
DR. VARGHESE T.PANICKER
51 330184 RAJENDRAN M 60 M 31‐Dec‐2012 MVP AML, SEV MR, MILD MVR # 29 SJM + PMLP
TR/PR, MOD PAH, MOD
LVD, AF, CAD‐SVD, DM
21
Sl. No. HNO NAME AGE SEX DOS DIAGNOSIS PROCEDURE SURGEON
DR. VARGHESE T.PANICKER
52 319508 ELANKESWARAN.A 37 M 2‐Jan‐2013 ACHD, OS ASD, MILD PAH, DIRECT ASD CLOSURE
SR, HBSAG +VE
DR. JAYAKUMAR K
53 348242 LEKSHMI B.P. 63 F 2‐Jan‐2013 CAD, TVD, GOOD LV, SR, CABG X 5( LIMA TO LAD, RSVG
DM, HTN, DLP TO D1, MAJ OM, OM1& RPDA;
D1 & OM1 PIGGY BACK TO MAJ
OM )
DR. VARGHESE T.PANICKER
54 8709367 RAJENDRAN.G 37 M 11‐Jan‐2013 RHD, SEV MS & AR, MOD DVR ( MVR# 27SJM + AVR#
AS, MILD TR, TRIVIAL MS, 21SJM )
MOD PAH, GD LV, AF
DR. JAYAKUMAR K
55 317833 RAMAKRISHNAN.K 58 M 4‐Feb‐2013 CAD,TVD,ASC AO CABG X 3 ( LIMA TO LAD; RSVG
ANEURYSM,FAIR TO MAJ OM& RCA WITH RCA
LV,SR,HTN,DLP PIGGY BACK TOMAJ OM ) +
MODIFIED BENTALL'S
PROCEDURE(# 23 CHVP+#
24MM ALBO GRAFT)
DR. JAYAKUMAR K
56 341989 BHASKARAN PILLAI V 72 M 5‐Feb‐2013 CAD,LMCA,TVD,GDLV,MILD CABG X 4 ( LIMA TO LAD, RSVG
TO MOD AR,SR,S/P TO DIAG, PDA, RI, DIAG PIGGY
PTCA(2006),HTN BACK TO RI )
DR. VARGHESE T.PANICKER
57 344734 SALIM V E 46 M 6‐Feb‐2013 RHD,SEV CAL MS,MILD MVR # 29SJM
MR,SEV PAH,GDLV,NC
DR. JAYAKUMAR K
58 349779 ABDUL RAHMAN K V 60 M 6‐Feb‐2013 CAD, LMCA, TVD, FAIR LV, CABG X 4 ( LIMA TO LAD &
SR RSVG TO D1, TERM OM, PDA )
22
Sl. No. HNO NAME AGE SEX DOS DIAGNOSIS PROCEDURE SURGEON
DR. VIVEK V. PILLAI
59 356891 CHACKO PANICKER. 72 M 9‐Feb‐2013 SEV AR, MOD MR, MOD TR, DVR ( AV # 21SJM + MV # 29
A.G POST IE SEQUELAE, GD LV, SJM ) + PMLP
SEV PAH, SR, CCF, RENAL
DYSFUNCTION
DR. VARGHESE T.PANICKER
60 357014 ARUMUGAPATCHIKAN 20 M 11‐Feb‐2013 ACUTESEV MR, S/P BMV, MVR # 25 SJM+ PMLP
I P. RHD, SEV MS, MILD MR,
SEV PAH,SR,G1P0
DR. JAYAKUMAR K
61 272394 GOPINATHAN NAIR 57 M 11‐Feb‐2013 CAD, TVD, MOD LVD, SR CABG X 4 ( LIMA TO LAD, RSVG
K.P. TO MEDIAL & LATERALBR MAJ
OM & PRE CRUX RCA)
DR. VARGHESE T.PANICKER
62 8603729 KARUNAN.M.K. 48 M 18‐Feb‐2013 SSI WITH SINUS ( STERNAL STERNAL WIRE REMOVAL +
WOUND ) S/P DVR, GD LV, WOUND DEBRIDMENT WITH
SR, MRSA (+) PRIMARY CLOSURE
DR. PRAVEEN VARMA P.K.
63 349996 BABU G. 55 M 18‐Feb‐2013 CAD, TVD, GDLV, SR, DM, CABG X 3 ( LIMA TO LAD, RSVG
HTN TO MAJ DIAGONAL, RPDA )
DR. PRAVEEN VARMA P.K.
64 233387 AMPILI KUMAR.K. 52 M 20‐Feb‐2013 MOD‐SEV PARAVALVULAR REDOSTERNOTOMY + MVR #
MR,VALVE DEHISCENCE, 31SJM
SEV PAH,
P/DVR(MAR&MAY 05) ,
RHD, PPI( VVI 05), GDLV ,
NC
DR. VARGHESE T.PANICKER
65 9629 RAJEEV 34 M 21‐Feb‐2013 BAV, SEV AS, MILD AR, AVR # 19 SJM
GOOD LV, SR
23
Sl. No. HNO NAME AGE SEX DOS DIAGNOSIS PROCEDURE SURGEON
DR. JAYAKUMAR K
66 353371 MOHANAN NAIR .T 50 M 21‐Feb‐2013 CAD, TVD, FAIR LV, SR, HTN, CABG X 6 (LIMA TO LAD, RSVG
DLP TO MAJ D, OM3, OM2, RI &
RPDA)
DR. VARGHESE T.PANICKER
67 201077 ABIDA BEEGUM A.M 45 F 25‐Feb‐2013 PV THROMBOSIS,S/P REDOSTERNOTOMY+
MVR&BMV,RHD,SEV EMERGENCY MVR ( 23 CHVP )
MS,SEV PAH,AF IN CCF
DR. JAYAKUMAR K
68 356342 KARUNAKARAN C 79 M 25‐Feb‐2013 CAD,TVD,GDLV,DM,HTN,DL CABG X 4 ( LIMA TO LAD, RSVG
P,SR TO PDA, OM2 & OM3; PDA
SIDE TO END ANASTOMOSIS
TO AORTA & OM3 PIGGY BACK
TO RPDA WITH END TO END
ANASTOMOSIS)
DR. VARGHESE T.PANICKER
69 244279 SASEENDRA DAS G. 64 M 27‐Feb‐2013 SEVERE PARAVALVULAR REDOSTERNOTOMY + MVR ( 25
MR, IE SEQUELAE, S/P MVR PM )
FOR RHD, SEV MR, GD LV,
AF, NC
DR. JAYAKUMAR K
70 348343 SREEKUMARI AMMA R 64 F 27‐Feb‐2013 CAD, TVD, GRI DIASTOLIC CABG X 4 ( LIMA TO LAD, RSVG
DYSFUNCTION, SR, DM, TO PLB, MAJ D & MAJ OM)
HTN
DR. JAYAKUMAR K
71 351648 GOPAKUMAR K R 51 M 4‐Mar‐2013 CAD, DVD, GDLV, SR, DM, CABG X 3 ( LIMA TO LAD; RSVG
HTN, DLP, HBSAG+ TO D1 & PDA )
DR. JAYAKUMAR K
72 349868 THOMAS D. 61 M 6‐Mar‐2013 CAD, TVD, AWMI, FAIR LV, CABG X 4 ( LIMA TO LAD; RSVG
SR, DM, HTN, DLP TO MAJ D, ACUTE MARGINAL,
RPDA)
24
Sl. No. HNO NAME AGE SEX DOS DIAGNOSIS PROCEDURE SURGEON
DR. JAYAKUMAR K
73 192074 THOMAS.P. 65 M 7‐Mar‐2013 CAD, MILD LMCA, TVD, OLD CABG X 5 ( LIMA TO LAD; RSVG
IWMI, MOD LVD, SR, DM, TO DISTAL LAD, MAJ D, MAJ
HTN, DLP OM & PDA )
DR. JAYAKUMAR K
74 355798 SUSY GEORGE 50 F 7‐Mar‐2013 BAV, SEV CAL AS, MOD AR, AVR # 21 CHVP + CABG X 2 (
DILATED ASCENDING RSVG TO LAD & MAJ OM ) +
AORTA, SEV LVD, LMCA LMCA PLICATION + LINEAR
DISSECTION S/P CAD,PCI PLICATION
TO LAD,SR,HTN, DLP
DR. JAYAKUMAR K
75 354077 DAVID T M 67 M 11‐Mar‐ CAD, TVD. GD LV, SR, DM, CABR X 5 ( LIMA TO LAD; RSVG
2013 HTN, DLP TO MAJ DIAG, RI, PDA & PLB )
DR. JAYAKUMAR K
76 348344 VIMAL KUMAR D. 53 M 13‐Mar‐ CAD, TVD, FAIR LV, SR, HTN, CABG X 4 ( LIMA TO LAD; RSVG
2013 DM, DLP TO D1, MAJ OM & LPLB )
DR. VIVEK V. PILLAI
77 279305 CHANDRAGANESAN R. 23 M 13‐Mar‐ RHD, SEVMS, MOD MR, MVR # 27 CHVP + PARTIAL
2013 MOD PAH, GD LV, SR, PMLP
DR. PRAVEEN VARMA P.K.
78 351383 DIVAKARAN A K 72 M 14‐Mar‐ CAD,TVD,GDLV,SR,COPD CABGX4 GRAFT(LIMA‐
2013 LAD,RSVG‐PRE
CRUX,OM,DIAG)
DR. JAYAKUMAR K
79 245135 SIVASANKARA PILLAI 54 M 18‐Mar‐ CAD, TVD, OLD IWMI, GD CABG X 5 ( LIMA TO LAD; RSVG
G. 2013 LV, MILD MR, SR, S/P PCI ‐ TO D2, RI, MAJ OM & RPDA )
RCA, DLP
25
Sl. No. HNO NAME AGE SEX DOS DIAGNOSIS PROCEDURE SURGEON
DR. JAYAKUMAR K
80 353194 SHAHULDEEN E 55 M 19‐Mar‐ CAD, TVD, GDLV, SR, DM, CABG X 4 ( LIMA TO LAD; RSVG
2013 HTN, DLP TO D1, TERM OM & RPDA )
DR. JAYAKUMAR K
81 350967 UMMER K 53 M 20‐Mar‐ CAD, DVD, GD LV, SR, HTN, CABG X 4 ( LIMA TO LAD; RSVG
2013 DLP TO D1, RPDA & RPLB )
DR. JAYAKUMAR K
82 358933 SURESH P. 22 M 20‐Mar‐ FOREIGN BODY FOREIGN BODY EXTRACTION
2013 PENETRATING ASCENDING WITH EMERGENCY AVR #
AORTA WITH SACCULAR 19CHVP WITH EXCISION OF
PSEUDOANEURYSM ANEURYSM & AORTOPLASTY
ASCENDING AORTA WITH
RCC TEAR WITH ACUTE AR,
MILD MR, SEV TR, SEV PAH,
GD LV, SR
DR. JAYAKUMAR K
83 351033 RAVEENDRAN NAIR.K. 66 M 25‐Mar‐ CAD, TVD, GD LV, SR, DM, CABG X 5 (LIMA TO LAD; RSVG
2013 HTN, DLP TO MAJ D, OM4, RPDA & LPLB )
DR. JAYAKUMAR K
84 357386 AYSHA BEEVI C.P 46 F 26‐Mar‐ CHRONIC TYPE A MODIFIED BENTALL'S
2013 ASCENDING AORTIC PROCEDURE ( 25CHVP + 26
DISSECTION, MOD TO SEV ALBOGRAFT )
AR, MILD TO MOD MR, GD
LV, SR, HYPOTHYROID,
MARFAN SYND
DR. JAYAKUMAR K
85 350471 LEELAMMA BABY 57 F 27‐Mar‐ CORONARY FISTULA LIGATION WITH
2013 ARTERIOVENOUS( RA‐LCX) DIRECT CLOSURE OF
FISTULA, MOD‐SEVERE TR, FISTULOUS OPENING
GD LV, SR
26
Sl. No. HNO NAME AGE SEX DOS DIAGNOSIS PROCEDURE SURGEON
DR. BAIJU S.DHARAN
86 359372 FATHIMA M. 0 F 5‐Apr‐2013 CCHD, DTGA, IVS, ASD, PDA, ASO + STENTED STERNUM
MILD PS, GD LV, NC, SR
DR. THOMAS MATHEW
87 359809 DIVA MANOJ 1 F 5‐Apr‐2013 CCHD, TOF, PUL ATRESIA, EMERGENCY RMBTS # 3.5MM
ASD, MAPCA, H/O SPELLS PTFE TUBE GRAFT
DR. SABARINATH MENON
88 343888 SANA JOSE J. 9 F 8‐Apr‐2013 CCHD, TOF, CONFLUENT PA, TRANS RA‐ PA ICR
GOOD LV, NC, SR, SPELLS
DR. BAIJU S.DHARAN
89 359954 REHNA SHAFI 0 F 10‐Apr‐2013 CCHD,OBSTRUCTED IC‐ PRIMARY SUTURELESS REPAIR
TAPVC,SEV PAH OF IC‐TAPVC + LA
AUGMENTATION WITH BPP+
ASD MADE RESTRICTIVE WITH
STENTED STERNUM
DR. BAIJU S.DHARAN
90 359811 SREELAKSHMI RAJESH 0 F 11‐Apr‐2013 D TGA, MUSCULAR VSD, ASO + VSD CLOSURE ( RACHS 4
PDA, B/L SVC, 1LCX 2R, SR )
DR. SABARINATH MENON
91 355688 VIJAY BABU 4 M 18‐Apr‐2013 ACHD, SA VSD, OS ASD, SEV GORTEX PATCH CLOSURE VSD
PAH, SR + TANNED PERICARDIAL PATCH
CLOSURE OSASD + 2.5MM PFO
OPEN
DR. BAIJU S.DHARAN
92 359726 ASHWIN. 0 M 22‐Apr‐2013 CCHD, D‐TGA, IVS, OSASD, ASO + ASD MADE RESTRICTIVE
PDA, MOD PAH, 1LCXR, SR
27
Sl. No. HNO NAME AGE SEX DOS DIAGNOSIS PROCEDURE SURGEON
DR. THOMAS MATHEW
93 359726 ASHWIN. 0 M 23‐Apr‐2013 S/P ASO WITH STENTED DELAYED STERNAL CLOSURE
STERNUM, DTGA, IVS, PAH,
SR
DR. SABARINATH MENON
94 348212 APARNA N.P. 3 F 24‐Apr‐2013 ACHD, SV ASD, PAPVC OF WARDEN'S PROCEDURE
RUPV, MILD PAH, GD LV, SR
DR. BAIJU S.DHARAN
95 356802 SUSMITHA R 1 F 24‐Apr‐2013 CCHD, OBSTRUCTED TAPVC REPAIR ( CS CUTBACK
CARDIAC TAPVC, TECHNIQUE )
MODERATE TO SEVERE TR,
SEV
PAH,BRONCHOPNEUMONI
A
DR. SABARINATH MENON
96 351218 AIVIN SHAJI 2 M 26‐Apr‐2013 CCHD, TOF, CONF PA, ICR WITH TAP WITH
MODERATE TR, NC, SR MONOCUSP RECONSTRUCTION
OF RVOT
DR. SABARINATH MENON
97 351327 ASWIN ANIL 7 M 29‐Apr‐2013 ACHD, OSASD,SR TANNED PERICARDIAL PATCH
CLOSURE ASD
DR. THOMAS MATHEW
98 356916 ANSHIDAP. 1 F 30‐Apr‐2013 CCHD,SS,MESOCARDIA,MIX TAPVC REPAIR(CS
ED TAPVC,MODERATE CUTBACK+V.V ‐LA APPENDAGE
PAH,GOOD LV/RV FN,SR ANASTAMOSIS.)
DR. BAIJU S.DHARAN
99 358480 FATHIMA RUSHDA 1 F 2‐May‐2013 CCHD, SS, DC, D TGA, IVS, ASO + ASD MADE RESTRICTIVE
C.K. OSASD, MILDLY REGRESSED
LV, 2LCXR 1 CONAL BR, B/L
SVC, SR
28
Sl. No. HNO NAME AGE SEX DOS DIAGNOSIS PROCEDURE SURGEON
DR. SABARINATH MENON
100 351216 MUHAMMED ALTHAF 6 M 3‐May‐2013 ACHD, SP VSD, RCC TRANS PA GORTEX PATCH
C I PROLAPSE, MILD AR, SR CLOSURE OF VSD
DR. BAIJU S.DHARAN
101 352066 JEYAMARY G 9 F 3‐May‐2013 SEVERE AR, S/P VSD AVR # 19CHVP ( 19A T2 48803 )
CLOSURE + AV & MV
REPAIR FOR ACHD, PMVSD,
SEV AR, MOD MR, MOD
PAH
DR. SABARINATH MENON
102 358480 FATHIMA RUSHDA 1 F 4‐May‐2013 S/P ASO WITH STENTED DSC
C.K. STERNUM
DR. SABARINATH MENON
103 355101 MOHAMMED ANAS .P 1 M 6‐May‐2013 ACHD, SA VSD, SEV PAH, GD GORTEX PATCH CLOSURE OF
LV, SR VSD
DR. BAIJU S.DHARAN
104 361160 MUHAMMED 0 M 7‐May‐2013 CCHD, OBSTRUCTED IC‐ PRIMARY SUTURELESS REPAIR
RISHAN.P.K TAPVC, SEV PAH, ASD, SR IC‐TAPVC WITH TPP CLOSURE
ASD( 2.5MM PFO KEPT OPEN)
DR. SABARINATH MENON
105 318239 NAVAS .N 19 M 8‐May‐2013 RECURRENT PE, S/P PLEURO‐PERICARDIAL
SUBXIPHOID PERICARDIAL WINDOW THROUGH LEFT
DRAINAGE, ANTEROLATERAL
UNIFOCALIZATIONMAPCA, THORACOTOMY
ICR FOR TOF
29
Sl. No. HNO NAME AGE SEX DOS DIAGNOSIS PROCEDURE SURGEON
DR. BAIJU S.DHARAN
106 360641 THANKAMAYIL.M 4 F 8‐May‐2013 ACHD, OS ASD, SEV MR, MV REPAIR (ANTERIOR
SEV PAH, SR LEAFLET PLICATION +
POSTERIOR ANNULOPLASTY ) +
TPP CLOSUTE ASD
DR. THOMAS MATHEW
107 354482 MUSTHAFA.K.P 27 M 13‐May‐ ACHD,SP VSD, RCC TRANS PA GORETEX PATCH
2013 PROLAPSE, TRIVIAL AR, SR CLOSURE OF VSD
DR. SABARINATH MENON
108 245453 NIBIL.N. 9 M 14‐May‐ PACING & STERNAL WIRE PACING & STERNAL WIRE
2013 SINUS S/P ICR FOR TOF REMOVAL WITH SINUS TRACT
EXCISION WITH SECONDARY
SUTURING
DR. SABARINATH MENON
109 355269 MUHAMMED ANSHAD 12 M 14‐May‐ ACHD, SP VSD, RCC TRANS PA GORETEX PATCH
.B 2013 PROLAPSE, MILD AR, SR CLOSURE OF VSD
DR. BAIJU S.DHARAN
110 356990 MUHAMMED 0 M 15‐May‐ S/P ASO+VSD+MUSCULAR PPI VIA LEFT ANTEROLATERAL
FASWEEH T. 2013 VSD THORACOTOMY APPROACH
CLOSURE+TACHEOSTOMY
WITHCHB
DR. SABARINATH MENON
111 350785 ANANTHU .T 1 M 17‐May‐ ACHD, SA & MID GORETEX PATCH CLOSURE OF
2013 MUSCULAR VSD, SEVERE SAVSD+ DIRECT CLOSURE MM
PAH, MILD RVOTO, SR VSD WITH EXCISIONOF
PARIETAL BANDS + PFO
CREATED
30
Sl. No. HNO NAME AGE SEX DOS DIAGNOSIS PROCEDURE SURGEON
DR. SABARINATH MENON
112 360948 KIRAN.K.P 1 M 17‐May‐ CONGENITAL COMPLETE EPICARDIAL PPI VIA
2013 HEART BLOCK, MILD LVD MINISTERNOTOMY
DR. BAIJU S.DHARAN
113 355591 AMAL JYOTHI 1 M 20‐May‐ ACHD, SA VSD, ADDITIONAL DIRECT VSD CLOSURE
2013 MID MUSCULAR VSD (?),
MILD TO MODERATE PAH,
SR
DR. THOMAS MATHEW
114 323369 RISHANA N 7 F 22‐May‐ CCHD, TOF, DCVSD, GOOD ICR + TAP + MONOCUSP
2013 PA, SR RECONSTRUCTION OF RVOT
DR. SABARINATH MENON
115 328882 RAJESWARI .M 23 F 24‐May‐ CCHD TOF GOOD PA ICR WITH TRANS ANNULAR
2013 NORMAL CORONARY SR PATCH WITH MONOCUSP
RECONSTRUCTION OF RVOT
DR. BAIJU S.DHARAN
116 359746 B/O SARADHA 0 M 27‐May‐ CCHD, DTGA, MULTIPLE ASO + VSD CLOSURE
2013 VSD, SMALL PDA, 1LCX 2R,
GD LV, SR
DR. SABARINATH MENON
117 359746 B/O SARADHA 0 M 28‐May‐ S/P ASO+VSD CLOSURE DSC
2013 WITH STENTED STERNUM
DR. SABARINATH MENON
118 289162 MUHAMED ASHIK I 11 M 31‐May‐ ACHD, OUTFLOW VSD GP CLOSURE + SAM EXCISION +
2013 ,MOD AR, SAM,SR TRUSLER'S REPAIR
DR. THOMAS MATHEW
119 317430 AJMAL N J 12 M 3‐Jun‐2013 ACHD, SVASD, PAPVC OF DOUBLE PATCH REPAIR
RUPV & RMPV, B/L SVC, GD
LV, SR
31
Sl. No. HNO NAME AGE SEX DOS DIAGNOSIS PROCEDURE SURGEON
DR. BAIJU S.DHARAN
120 323846 ANANYAK. 4 F 4‐Jun‐2013 CCHD, PA, LPA STENOSIS, ICR ( GP CLOSURE VSD + ASD
SAVSD, OSASAD, PDA, SR, CLOSURE + PDA INTERRUPTION
S/P CLASSICAL RBTS ) WITH CONDUIT WITH LPA
PLASTY WITH BTS TAKE DOWN
DR. BAIJU S.DHARAN
121 9701738 NANDU KRISHNAN 18 M 5‐Jun‐2013 CCHD, PA, SAVSD, OSASD, ICR ( GP CLOSURE VSD + ASD
PDA, MAPCA, SR, S/P CLOSURE + PDA INTERRUPTION
LMBTS ) WITH CONDUIT WITH
UNIFOCALIZATION WITH
RMBTS TAKE DOWN
DR. SABARINATH MENON
122 355945 ARYA V.M. 10 F 6‐Jun‐2013 S/P VSD CLOSURE WITH SUBXIPHOID PERICARDIAL
MOD PE DRAINAGE
DR. SABARINATH MENON
123 260338 SANDHYA R. 7 F 6‐Jun‐2013 P/ICR WITH CONDUIT WITH RESTERNOTOMY + CLOT
PE EVACUATION
DR. SABARINATH MENON
124 356051 ADRIEL V OOMMEN 3 M 6‐Jun‐2013 CCHD, TOF, FAIR PA, NC, SR ICR WITH TRANS ANNULAR
PATCH WITH MONOCUSP
RECONSTRUCTIONOF RVOT
DR. THOMAS MATHEW
125 362440 SHREVYA.D.S 0 F 9‐Jun‐2013 S/P ASO WITH STENTED DELAYED STERNAL CLOSURE
STERNUM
DR. SABARINATH MENON
126 355358 NIKHILESH.E.D. 0 M 10‐Jun‐2013 ACHD, MALALIGNED SAVSD GORETEX PATCH CLOSURE VSD
WITH OUTFLOW WITH PDA LIGATION
EXTENSION, MOD PAH,
PDA, SR
32
Sl. No. HNO NAME AGE SEX DOS DIAGNOSIS PROCEDURE SURGEON
DR. THOMAS MATHEW
127 328816 HANNA S 2 F 11‐Jun‐2013 CCHD, TOF, CONFLUENT ICR + TAP+ MONOCUSP
GOOD SIZED PA, RIGHT RECONSTRUCTION OF RVOT +
ARCH,B/L SVC,GOOD LV PFO CLOSURE
FUNCTION, NORMAL
CORONARY PATTERN,SR
DR. BAIJU S.DHARAN
128 363191 STEBITHA STELLUS 1 F 21‐Jun‐2013 S/P TAPVC REPAIR, DSC
STENTED STERNUM
DR. SABARINATH MENON
129 359213 NIYA BIJU 1 F 24‐Jun‐2013 ACHD, MULTIPLE VSD ( GORETEX PATCH CLOSURE
MALALIGNED SAVSD+ SAVSD + DIRECT CLOSURE OF
MIDMUSCULAR VSD ), MID MUSCULAR VSD
SEVERE PAH, SR, ARM(
RECTOVESTIBULAR FISTULA
)
DR. BAIJU S.DHARAN
130 361660 AMRA FATHIMA .V 1 F 26‐Jun‐2013 CCHD, TOF, GOOD PA, TRANS RA ICR WITH
OSASD, PDA, NC, SR, SPELLS INFUNDIBULAR RESSECTION
DR. PRAVEEN VARMA P.K.
131 355942 NIRMALA .T. 53 F 4‐Jul‐2013 CAD, TVD, SEVERE LVD, SR, CABG X 4 ( LIMA TO LAD, RSVG
DM, HTN, DLP, B/L TO D1,MAJ OM & RPDA;
CAROTID DISEASE ENDARTERECTOMY OF OM&
PIGGY BACK TO DI)
DR. VARGHESE T.PANICKER
132 362818 MUHAMMED .T.K 59 M 5‐Jul‐2013 SEV CAL AS, MOD AR, MILD AVR #21 CHVP
CAD, MILD LVD, SR, DM
33
Sl. No. HNO NAME AGE SEX DOS DIAGNOSIS PROCEDURE SURGEON
DR. BINEESH K. R.
133 354930 ANITHA .V.V 35 F 19‐Jul‐2013 RHD, SEV CALCIFIC MS, MVR # 27SJM + PMLP
MILD MR & TR, SEVERE
PAH, GD LV, SR
DR. VIVEK V. PILLAI
134 354875 REJI KUMAR .V 31 M 22‐Jul‐2013 RHD,SEVERE MVR 27 SJM +PMLP +LA CLOT
MS,MODERATE MR,SEVERE REMOVAL + TV REPAIR (TV
TR,SEVERE PAH, BICUSPIDISATION +TV
MODERATE RVD,LA ANNULOPLASTY WITH 32 CE
CLOT,AF,RECENT LVF,?OLD RING)
TIA,H/O RHEUMATIC
REACTIVATION,
DR. VIVEK V. PILLAI
135 358956 BABU N 55 M 23‐Jul‐2013 CAD, TVD, FAIR LV, SR, P/ CABG X 4 ( LIMA TO LAD &
NSTEMI, HTN, DLP, CHILD RSVG TO DISTAL LAD, MAJ OM,
PUGH'S ‐I LIVER DISEASE DISTAL RCA )
WITH GRADE I
ESOPHAGEAL VARICES,
HBSAG(+)
DR. UNNIKRISHNAN.M
136 352723 VISHNU .A 20 M 24‐Jul‐2013 RECURRENT GCT EXCISION
DR. JAYAKUMAR K
137 352694 SANTHA KUMARI T 53 F 25‐Jul‐2013 CAD, NSTEMI, TVD, CABG X 4 ( LIMA TO LAD, RSVG
HYPERTROPHIED LV, SR, TO MAJ DIAGONAL, MAJOR
DM, HTN, DLP, BA OM & DISTAL RCA )
34
Sl. No. HNO NAME AGE SEX DOS DIAGNOSIS PROCEDURE SURGEON
DR. JAYAKUMAR K
138 363479 SHAJI P R 56 M 26‐Jul‐2013 CAD, LMCA, TVD, RECENT CABG X 4 ( LIMA TO LAD, RSVG
IWMI, GOOD LV, SR, DM, TO MAJ DIAGONAL, MAJOR
HTN OM, RI & RPDA )
DR. VARGHESE T.PANICKER
139 351707 SUSEELA K 44 F 26‐Jul‐2013 RHD, SEV CALCIFIC MS, MVR # 27CHVP
MILD MR, MOD PAH, GD
LV, SR
DR. JAYAKUMAR K
140 363245 MOHANA KRISHNAN 56 M 29‐Jul‐2013 CAD,TVD, RECENT ACS, CABG X 5 ( LIMA TO LAD; RSVG
N D GDLV, SR, DM TO MAJOR DIAGONAL, MAJ
OM, RAMUS & RPDA )
DR. PRAVEEN VARMA P.K.
141 361970 VIMALAMMA .B 69 F 30‐Jul‐2013 SEV CAL AS, GDLV, CONC AVR # 19 MM PERIMOUNT
LVH, HTN, DLP, SR,NC MAGNA
DR. BINEESH K. R.
142 364518 NISHA EDWARD 29 F 31‐Jul‐2013 ACHD, SVASD, PAPVC, MILD ACHD,DOUBLE TANNED
PAH, SR PERICARDIAL PATCHREPAIR
OF SVASD, PAPVCREROUTING
OF RUPV, MILD PAH, SR
DR. JAYAKUMAR K
143 339085 DIVAKARAN NAIR K 54 M 31‐Jul‐2013 CAD, TVD,GD LV, SR, S/P CABG X 4 (LIMA TO LAD; RSVG
PCI (RCA, D1) & POBA TO TO D1, D2 & TERMINAL OM
D2, DM,DLP WITH D1 PIGGY BACK TO D2 )
DR. PRAVEEN VARMA P.K.
144 357835 PREMACHANDRAN 53 M 1‐Aug‐2013 BAV, SEVERE CAL AS, SAM AVR # 27CHVP WITH SEPTAL
PILLAI WITH SEVERE LVOTO( MYECTOMY
HOCM), MODERATE MR,
GOOD LV, SR
35
Sl. No. HNO NAME AGE SEX DOS DIAGNOSIS PROCEDURE SURGEON
DR. PRAVEEN VARMA P.K.
145 301573 BALAKRISHNA KURUP 58 M 2‐Aug‐2013 SEV CAL AS, MOD AR, AVR # 19SJM‐R + CABG X 1
G TRIVIAL TR, CAD, TVD, LVH, (RSVG TO RPDA )
SR, DM, HTN, DLP
DR. PRAVEEN VARMA P.K.
146 287234 RAJAN K T 51 M 7‐Aug‐2013 CAD, TVD, OLD IWMI, FAIR CABGX 5 ( LIMA TO LAD; RSVG
LV, SR, S/P PCI TO RCA TO D1, RI, OM1 & RPDA )
DR. VIVEK V. PILLAI
147 347799 MALATHY M. 15 F 8‐Aug‐2013 RHD, SEV MR, MOD TO AORTIC VALVE REPAIR +
SEVERE AR, MODERATE TR, MITRAL VALVE
SEV PAH, GD LV, SR ANNULOPLASTY WITH 28#
SADDLE RING
DR. BINEESH K. R.
148 333839 SUBAJIN J 14 F 12‐Aug‐2013 ACHD, OSASD, MILD PAH, DIRECT CLOSURE ASD
SR, HBSAG(+)
DR. VIVEK V. PILLAI
149 364401 SHANTHA M 59 F 13‐Aug‐2013 CAD, DVD, GOOD LV, SR, CABG X 3 ( LIMA TO LAD; RSVG
COPD TO D1 & RPDA )
DR. PRAVEEN VARMA P.K.
150 363932 BALAKRISHNA PILLAI P 81 M 14‐Aug‐2013 SEV CAL AS, MILD AR, SEV MV REPAIR WITH 28 SADDLE
MR, MODERATE PAH, CAD, RING + AVR # 21 PM‐ MAGNA +
SVD, GDLV, SR, DM, DLP, CABG X 1 ( RSVG TO LAD )
HTN, COPD
36
Sl. No. HNO NAME AGE SEX DOS DIAGNOSIS PROCEDURE SURGEON
DR. JAYAKUMAR K
151 359332 SANTHAMANI A 65 F 19‐Aug‐2013 CAD, TVD, SEV LVD, CABGX 4 ( LIMA TO LAD; RSVG
MODERATE MR, SEVERE TO D1, OM1 & RPDA )
PAH, SR, DM, HTN, DLP,
BA, S/P HYSTRECTOMY FOR
CA ENDOMETRIUM
DR. JAYAKUMAR K
152 359155 VASUC.K. 60 M 20‐Aug‐2013 CAD, TVD, GD LV, SR, DM, CABG X 5 ( LIMA TO LAD; RSVG
HTN, DLP TO D2, OM2, RPDA & LPLB )
DR. VARGHESE T.PANICKER
153 289878 PRAKASH V 45 M 20‐Aug‐2013 RHD, SEV CAL RE‐MS, S/P MVR # 29SJM + TRA WITH
CMV(1998), MILD MR, SEV 34MM CLASSIC RING WITH
TR, SEV PAH, GD LV, AF, NC CLOT EXTRACTION
DR. PRAVEEN VARMA P.K.
154 363603 KHADEEJAC. M. 62 F 21‐Aug‐2013 CAD, TVD, GDLV, SR, HTN, CABG X 3 ( LIMA TO LAD, RSVG
DLP TO MAJ OM & RPDA)
DR. PRAVEEN VARMA P.K.
155 354519 SUDHARSANAN .V 50 M 21‐Aug‐2013 BAV, SEV CAL AS, GDLV, AVR # 21 MM CHVP
CONC LVH, HTN, DLP, SR,
NC
DR. JAYAKUMAR K
156 358487 GOPINATHAN PILLAI 66 M 22‐Aug‐2013 CAD, TVD, CONCENTRIC CABG X 6 ( LIMA TO LAD; RSVG
M. LVH, GR I DIASTOLIC TO D1, OM1, TERMINAL OM,
DYSFUNCTION, SR RPDA & RPLB ) + APICAL
PLICATION
37
Sl. No. HNO NAME AGE SEX DOS DIAGNOSIS PROCEDURE SURGEON
DR. VARGHESE T.PANICKER
157 299905 GNANA SEKAR K. 37 M 23‐Aug‐2013 BAV, SEV CAL AS, MILD AR, AVR # 25CHVP
MILD COA, GD LV, SR, S/P
PDACLOSURE
DR. PRAVEEN VARMA P.K.
158 364370 SUNIL LAL K 54 M 26‐Aug‐2013 CAD, TVD, REC ACS, GD LV, CABG X 5 ( LIMA TO LAD; RSVG
SR, HTN, DM, DLP TO AM‐PDA, DIAGONAL,
MAJOR OM & DISTAL LAD )
DR. VIVEK V. PILLAI
159 344690 SHIHABUDEEN 29 M 26‐Aug‐2013 ACHD, OS ASD, MILD PAH, DIRECT CLOSURE OF OS ASD
GD LV, SR
DR. JAYAKUMAR K
160 356784 RANJITH N.R 56 M 27‐Aug‐2013 CAD, TVD, OLDMI, S/P PCI CABG X 6 ( LIMA TO LAD; RSVG
TO RCA, SEVERE LVD, SR, TO D1, RI, PDA1, PDA2 & RPLB
DM, HTN )
DR. JAYAKUMAR K
161 359414 PRASENAN S. 54 M 29‐Aug‐2013 CAD, TVD, LMCA, GD LV, SR, CABG X 4 ( LIMA TO LAD; RSVG
HTN, DLP TO D1, MAJ OM & RPDA )
DR. JAYAKUMAR K
162 361677 SAIDALI THAYYIL 73 M 29‐Aug‐2013 CAD, TVD, OLD IWMI, CABG X 6 ( LIMA TO LAD; RSVG
SEVRERE LVD, DM, HTN, TO D1, RI, BOTH BRANCHES OF
DLP OM & DISTAL RCA )
38
Sl. No. HNO NAME AGE SEX DOS DIAGNOSIS PROCEDURE SURGEON
DR. VARGHESE T.PANICKER
163 364856 MARIAMMA JACOB 73 F 30‐Aug‐2013 SEV CAL AS, MILD MR, AVR # 19 PM MAGNA
GDLV, SR, NC, DM, HTN
DR. JAYAKUMAR K
164 363843 SATEENDRASENAN . P 66 M 30‐Aug‐2013 CAD, LMCA, TVD, GD LV, SR, CABG X 5 ( LIMA TO LAD; RSV
DM, HTN, DLP, RENAL G TO D1, MAJOR OM, RI &
DYSFUNCTION
LAST RPLB )
DR. BAIJU S.DHARAN
165 330103 ANNA MARIA 3 F 5‐Sep‐2013 CCHD, HYPOPLASTIC MV, VSD ENLARGEMENT + TV
SV(RV), MULTIPLE VSD, REPAIR + B/L BDGS ( RACHS IV
SEVERE TR, PAH, B/L SVC, )
S/P PA BANDING + ATRIAL
SEPTECTOMY +PDA
INTERRUPTION
DR. THOMAS MATHEW
166 362218 RUGMINIDEVIE. 2 F 10‐Sep‐2013 CCHD, MIXED TAPVC, MILD TAPVC REPAIR ( LUPV TO LAA
PAH, SR & COMMON CHAMBER TO LA
ANASTOMOSIS +WARDEN'S
PROCEDURE )
DR. SABARINATH MENON
167 349526 AADHILA 1 F 11‐Sep‐2013 CCHD, TOF WITH ICR WITH TRANS ANNULAR
FATHIMA.P.R PULMONARY ATRESIA, PATCH WITH RVOT
PDA, OSASD, GOOD CONF RECONSTRUCTION WITH
PA, NC,SR MONOCUSP + ASD MADE
RESTRICTIVE
DR. THOMAS MATHEW
168 364732 AMAL G 2 M 12‐Sep‐2013 CCHD, HYPOPLASTIC TV, PV, BDGS + FENESTRATED
RV, OSASD, GD LV, SR, CLOSURE OF ASD
SPELLS
39
Sl. No. HNO NAME AGE SEX DOS DIAGNOSIS PROCEDURE SURGEON
DR. BAIJU S.DHARAN
169 364677 ARON.R. PRAVEEN 0 M 13‐Sep‐2013 ACHD, SEV COA (POST SCA), RESECTION AND END‐TO‐END
BAV, MILD MR, SR ANASTOMOSIS
DR. THOMAS MATHEW
170 366504 DAKSHITH R P 1 M 15‐Sep‐2013 S/P ASO AND ARCH REPAIR DSC
DR. THOMAS MATHEW
171 366847 ISHAN O 1 M 17‐Sep‐2013 UHL'S ANOMALY, SEV TR, BDGS + ATRIAL SEPTECTOMY +
DILATED RV WITH RV DEVAGUS TRICUSPID
DYSFUNCTION, GD LV, SR, ANNULOPLASTY
SPELLS
DR. SABARINATH MENON
172 352542 AMAL LAL .P 2 M 18‐Sep‐2013 COR TRIATRIATUM, COR TRIATRIATUM REPAIR
MODERATE PAH, SR
DR. BAIJU S.DHARAN
173 350840 RASSYA KRISHNA.M. 1 F 19‐Sep‐2013 RESIDUAL VSD, S/P ICR + VSD CLOSURE + TAP WITH
TAP WITH MONOCUSP MONOCUSP RECONSTRUCTION
RECONSTRUCTION FOR TOF
, INFUNDIBULAR ATRESIA,
SR
DR. THOMAS MATHEW
174 358032 AYSHA MARIYAM 1 F 23‐Sep‐2013 CCHD, DORV, SAVSD VSD, ICR + TAP WITH MONOCUSP
SEV PS, ASD (OPASD & RECONSTRUCTION OF RVOT
OSASD ), B/L SVC, GOOD
PA, SR
DR. THOMAS MATHEW
175 363361 FATHIMA HANEEN E 7 F 24‐Sep‐2013 ACHD, SAVSD, SEVERE TRANS RA‐PA ICR
INFUNDIBULAR PS, ,CONF
PA, GD LV, SR
40
Sl. No. HNO NAME AGE SEX DOS DIAGNOSIS PROCEDURE SURGEON
DR. BAIJU S.DHARAN
176 365384 MADHUJAN T. 0 M 25‐Sep‐2013 ANOMALOUS ORIGIN RPA REIMPLANTATION OF RPA TO
FROM AORTA, PDA, PFO, MPA + PDA INTERRUPTION
SEVERE PAH, SR
DR. BAIJU S.DHARAN
177 364185 ASHNA MOL 0 F 27‐Sep‐2013 S/P COA REPAIR AND PA PA BAND TIGHTENING
BAND
DR. BAIJU S.DHARAN
178 365968 B/O BACKIA JOTHI 0 M 27‐Sep‐2013 CCHD, TA, SA VSD, INF PS, BDGS
SPELLS
DR. THOMAS MATHEW
179 318401 ABHIRAM.S.A 4 M 30‐Sep‐2013 CCHD, TOF, CONF PA, MILD ICR + MPA PLASTY WITH
LPA ORIGIN STENOSIS, PDA, PATCH EXTENDING TO LPA
SR ORIGIN
DR. SABARINATH MENON
180 327524 LENA BABU 8 F 1‐Oct‐2013 ACHD, OSASD,SR,NC PERICARDIAL PATCH CLOSURE
OF ASD VIA MINISTERNOTOMY
DR. SABARINATH MENON
181 357812 JACKSON. A 1 M 3‐Oct‐2013 ACHD, DC VSD, PFO, SEV TRANS PA GORETEX PATCH
PAH, GDLV, SR CLOSURE OF VSD
DR. SABARINATH MENON
182 260195 ROHITH R. 12 M 4‐Oct‐2013 FOREIGN BODY GRANULOMA EXCISION
GRANULOMA STERNAL
WOUND, S/P ASD CLOSURE
DR. SUDIP DUTTA BARUAH
183 348405 THEERTHA ANISH 5 F 7‐Oct‐2013 ACHD, OS ASD, MILD PAH, DIRECT CLOSURE OF ASD
GDLV, SR
DR. THOMAS MATHEW
184 368150 PRAGATHI M K 0 F 8‐Oct‐2013 S/P IC‐TAPVC REPAIR+ DSC
STENTED STERNUM
41
Sl. No. HNO NAME AGE SEX DOS DIAGNOSIS PROCEDURE SURGEON
DR. BAIJU S.DHARAN
185 366774 ELANGO K 1 M 8‐Oct‐2013 CCHD, DORV, NON PA BAND # 25MM ( RACHS III )
COMMITTED INFLOW VSD,
SEV PAH,OSASD, RIGHT
ARCH, SR
DR. THOMAS MATHEW
186 332576 VISHNU V 8 M 9‐Oct‐2013 CCHD, TA, SEV PS, B/L BDGS
RESTRICTED VSD, LSVC, SR
DR. THOMAS MATHEW
187 291606 SOBIA.S 4 F 11‐Oct‐2013 S/P ICR WITH WOUND SECONDARY SUTURING
DEHISCENCE
DR. SUDIP DUTTA BARUAH
188 207376 SANOOP S. 12 M 11‐Oct‐2013 S/P VSD CLOSURE WITH STERNAL WIRE REMOVAL
FRACTURE STERNAL WIRE
DR. BAIJU S.DHARAN
189 364319 SIVAPRIYA RAJESH 0 F 15‐Oct‐2013 ACHD, SA VSD, SEVERE BOVINE PERICARDIAL PATCH
PAH, SR, DOWNS CLOSURE OF VSD
SYNDROME
DR. THOMAS MATHEW
190 355014 ABHISHEK AJI 1 M 15‐Oct‐2013 CTGA, MUS VSD, OSASD, GORETEX PATCH CLOSURE VSD
SEV PAH, PDA, B/L SVC + LSVC TRANSLOCATION TO
RAA + UNROOFED CS CLOSURE
WITH PERICARDIAL PATCH +
ASD MADE RESTRICTIVE
DR. THOMAS MATHEW
191 354720 ASIYA MOL 1 F 17‐Oct‐2013 ACHD, SA VSD, SEVERE GORETEX PATCH CLOSURE VSD
PAH, SR
42
Sl. No. HNO NAME AGE SEX DOS DIAGNOSIS PROCEDURE SURGEON
DR. THOMAS MATHEW
192 365960 HARITHA HAREESH 0 F 17‐Oct‐2013 ACHD, MULTI VSD, OSASD, PA BAND # 23MM ( RACHS III )
SEV PAH, SR
DR. BAIJU S.DHARAN
193 328253 BHAVYAA. 13 F 18‐Oct‐2013 CCHD, DORV, PA, SAVSD BIVENTRICULAR REPAIR WITH
WITH INLET EXTENSION, SR, INTRA CARDIAC TUNNELING &
S/P BDG+ ATRIAL 21 MM PULMONARY
SEPTECTOMY, P/ MAPCA HOMOGRAFT + ASD CLOSURE +
COILING BDGTAKEDOWN
DR. SABARINATH MENON
194 362201 NYNIKA.V 1 F 21‐Oct‐2013 SS, DC, DORV, C‐TGA, INLET BDGS
VSD, OSASD, SEVERE PS, SR
DR. BAIJU S.DHARAN
195 368972 NAISHANA THOSNI P P 0 F 22‐Oct‐2013 CCHD, SC‐TAPVC WITH PRIMARY SUTURELESS REPAIR
RESTRICTIVE ASD ,SEV PAH, BY RIGHT LATERAL APPROACH
SR +ASD MADE RESTRICTIVE
WITH STENTED STERNUM
DR.SIMRAN KUNDAN
196 341329 KIRAN VIJAY 6 M 22‐Oct‐2013 ACHD, OSASD, VAL PS, PERICARDIAL PATCH CLOSURE
NOONAN SYND OF ASD + PULMONARY
VALVOTOMY
DR. SABARINATH MENON
197 345328 MUHAMMED HIDASH 2 M 28‐Oct‐2013 CCHD, TOF, GOOD PA , SR, ICR
P NC, SPELLS (?)
DR. SABARINATH MENON
198 364661 HANA FATHIMAT 1 F 29‐Oct‐2013 ACHD, SAVSD, PDA, PFO, GORETEX PATCH CLOSURE VSD
SEV PAH, SR, DOWN'S + PDA LIGATION WITH PFO
SYNDROME KEPT OPEN
43
Sl. No. HNO NAME AGE SEX DOS DIAGNOSIS PROCEDURE SURGEON
DR. THOMAS MATHEW
199 367864 SEVASTALIN V 4 M 30‐Oct‐2013 ACHD, SP VSD, MODERATE GORETEX PATCH CLOSURE VSD
TO SEVERE TR & MR, SEV + MV REPAIR ( POSTERIOR
PAH, MILD RV ANNULOPLASTY ) + DEVAGUS
DYSFUNCTION, FAIR LV, NC, TRICUSPID ANNULOPLASTY
SR
DR. BAIJU S.DHARAN
200 368999 B/O SHIJITHA 0 F 31‐Oct‐2013 ASO+TAPVC REPAIR((RACHS 4)
DR. PRAVEEN VARMA P.K.
201 323476 SUNDARD 51 M 1‐Nov‐2013 RHD, SEVERE AR, MOD AS, DVR ( AVR # 23CHVP + MVR #
SEVERE MS, DILATED LV, 27SJM )
NC, SR
DR. JAYAKUMAR K
202 369746 SWAMINATHAN M S 55 M 1‐Nov‐2013 ACUTE TYPE A AORTIC SUPRA CORONARY ASCENDING
DISSECTION, GOOD LV, NC AORTIC REPLACEMENT
DR. JAYAKUMAR K
203 356486 STHANU 76 M 4‐Nov‐2013 CAD, DVD, GDLV, SR, DM, OPCABG X 3 ( LIMA TO LAD;
VENKITESWARAN H DLP RSVG TO DIAGONAL 1 & RPDA
)
DR. JAYAKUMAR K
204 360394 SUNDER SINGH S. 72 M 5‐Nov‐2013 CAD, TVD, GOOD LV, SR, CABG X 5( LIMA TO LAD; RSVG
DM, HTN, DLP TO D2, TERM OM, RPDA, RPLB
)
DR. JAYAKUMAR K
205 367372 MOHANDOSS M 65 M 6‐Nov‐2013 CAD, TVD, GD LV, SR, DM, CABG X 5 ( LIMA TO LAD; RSVG
HTN, DLP TO D1, MAJ OM, LPLB & RPDA )
DR. PRAVEEN VARMA P.K.
206 9710367 KUMAR.P. 39 M 7‐Nov‐2013 RHD, SEV MR, MODERATE REDO STERNOTOMY + MVR #
MS, MODERATE PAH, AF, 289SJM + PMLP
S/P AVR & OMV
44
Sl. No. HNO NAME AGE SEX DOS DIAGNOSIS PROCEDURE SURGEON
DR. PRAVEEN VARMA P.K.
206 9710367 KUMAR.P. 39 M 7‐Nov‐2013 RHD, SEV MR, MODERATE REDO STERNOTOMY + MVR #
MS, MODERATE PAH, AF, 289SJM + PMLP
S/P AVR & OMV
DR. PRAVEEN VARMA P.K.
207 351039 KAMALAN.V. 59 M 8‐Nov‐2013 CAD, TVD, GD LV, SR, DM, CABG X 4 ( LIMA TO LAD; RSVG
HTN, DLP TO D1, RI & LPLB )
DR. JAYAKUMAR K
208 368415 LEELA JASMIN.T 74 F 11‐Nov‐ CAD, TVD, GD LV, SR, DM, CABG X 4 ( LIMA TO LAD; RSVG
2013 HTN, DLP TO MAJOR DIAGONAL, MAJOR
OM & RPDA )
DR. PRAVEEN VARMA P.K.
209 362685 SEETHA S. 55 F 12‐Nov‐ CAD, TVD, GD LV, SR, HTN, CABG X 4 (LIMA TO LAD; RSVG
2013 DLP, S/P THYROIDECTOMY TO MAJ DIAG, MAJ OM &
DISTAL RCA )
DR. VARGHESE T.PANICKER
210 360114 SELVI.S 23 F 12‐Nov‐ RHD, SEV MR, MODERATE MVR # 23CHVP + PMLP
2013 MS, SEV PAH, GD LV, SR
DR. VIVEK V. PILLAI
211 351332 RAHIMA BEEVI E 33 F 13‐Nov‐ RHD, SEV MR, MILD MS, MVR # 27CHVP + PMLP
2013 FAIR LV, AF
DR. JAYAKUMAR K
213 368595 POTHI M 65 M 15‐Nov‐ SACCULAR ANEURYSM EXCISION OF ANEURYSM WITH
2013 ASCENDING AORTA + DTA DACRON PATCH REPAIR OF
ANEURYSM, GOOD LV, SR AORTA
DR. JAYAKUMAR K
214 368780 CHANDRAMOHAN K S 58 M 19‐Nov‐ CAD, TVD,GDLV, SR, DM, CABG X 6 ( LIMA TO LAD; RSVG
2013 HTN TO D1, D3, MAJOR OM, TERM
OM & RPDA)
45
Sl. No. HNO NAME AGE SEX DOS DIAGNOSIS PROCEDURE SURGEON
DR. JAYAKUMAR K
215 2836 SUNIL KUMAR.A G 43 M 20‐Nov‐ BAV, ASCENDING AORTIC MODIFIED BENTALL'S
2013 ANEURYSM, MODERATE AS PROCEDURE ( 25CHVP + 26
& AR,,GOOD LV, SR, NC ALBOGRAFT )
DR. VARGHESE T.PANICKER
216 342112 RAMAN KUTTY K 45 M 21‐Nov‐ RHD, SEV CAL MS, MILD MVR # 31 CHVP + LAA
2013 MR, MILD LVD, MILD PAH, EXCLUSION
AF, LAA CLOT, NC, SEIZURE
DISORDER
DR. VARGHESE T.PANICKER
217 353781 UMMU JAMEELA 26 F 22‐Nov‐ RHD, SEV AR, MOD SEV AS, AVR # 19 CHVP + MV
2013 MOD MR, MILD MS, GOOD ANNULOPLASTY WITH #27
LV, DILATED LV, SR RING
DR. PRAVEEN VARMA P.K.
218 356535 MOHANAN K C 44 M 25‐Nov‐ BAV, SEVERE CALCIFIC AS, AVR # 23 CHVP
2013 MORERATE TO SEVERE AR,
LVH, SR, NC
DR. VARGHESE T.PANICKER
219 344059 KASIPANDIAN A 34 M 25‐Nov‐ BAV, SEVERE CALCIFIC AS, AVR # 21 CHVP + WRAP
2013 GOOD LV, LVH, SR AORTOPLASTY
DR. BINEESH K. R.
220 362168 MURUGESWARI A. 29 F 26‐Nov‐ ACHD, OSASD, MILD PAH, TANNED PERICARDIAL PATCH
2013 SR CLOSURE OF ASD
DR. PRAVEEN VARMA P.K.
221 362280 PECHIYAMAL V. 49 F 26‐Nov‐ RHD, SEVERE MR, MVR # 25CHVP + PMLP
2013 MODERATE MS,
MODERATE PAH, SR, NC,
S/P BMV
46
Sl. No. HNO NAME AGE SEX DOS DIAGNOSIS PROCEDURE SURGEON
DR. PRAVEEN VARMA P.K.
222 357248 MURALEEDHARAN 33 M 27‐Nov‐ RHD, SEVERE CAL MS, MVR # 23 SJM + TVA # 28MM
NAIRV. 2013 MODERATE MR, SEV TR, MC3 RING
MILD AR, SEVERE PAH, SR
DR. JAYAKUMAR K
223 366974 PRAKASH KUMAR K 43 M 29‐Nov‐ ASCENDING AORTIC MODIFIED BENTALL'S
2013 ANEURYSM, SEV AR, MILD PROCEDURE ( 23 CHVP + 24
AS, DILATED LV, SR, NC, ALBOGRAFT )
HYPOTHYROIDISM
DR. VIVEK V. PILLAI
224 364285 SUMA C 38 F 29‐Nov‐ S/P BMV SEV MR, RHD, MVR # 29CHVP + PMLP
2013 SEVERE MS, MO TR, SEV
PAH, AF
DR. JAYAKUMAR K
225 362254 REMA.P.K 35 F 2‐Dec‐2013 ACHD, SV ASD, MOD PAH DOUBLE PATCH REPAIR
DR. JAYAKUMAR K
226 367473 VAIKUNDA NATHAN R 47 M 2‐Dec‐2013 CAD, TVD, SEV LVD, SR, DM, CABG X 4 ( LIMA TO LAD; RSVG
DLP TO D1, OM1 & RPDA )
DR. JAYAKUMAR K
227 367253 RAJAN G. 62 M 3‐Dec‐2013 CAD, TVD, FAIR LV, SR, DM, CABG X 4 ( LIMA TO LAD; RSVG
DLP, OSTEOARTHRITIS TO D1, OM1 & TERM OM )
DR. JAYAKUMAR K
228 362694 FATHIMA BEEVI 65 F 4‐Dec‐2013 CAD, TVD, GDLV, SR, DM, CABG X 5 ( LIMA TO LAD;RSVG
HTN, DLP TO PDA,PLB,MAJ DIAG & OM2)
DR. JAYAKUMAR K
229 370582 SURESH KUMAR S 49 M 4‐Dec‐2013 CAD, TVD, GDLV, SR, DM, CABG X 3 ( LIMA TO LAD; RSVG
HTN TO DISTAL RCA & TERMINAL
OM )
47
Sl. No. HNO NAME AGE SEX DOS DIAGNOSIS PROCEDURE SURGEON
DR. JAYAKUMAR K
230 370682 VIJAYAN .N 68 M 5‐Dec‐2013 CAD, TVD, GOOD LV, SR, CABG X 4 ( LIMA TO LASD;
DM, DLP RSVG TO D1, OM1 & RPLP )
DR. VIVEK V. PILLAI
231 353953 ALWIN RAJASEKHAR P 15 M 6‐Dec‐2013 RHD, SEV MR, MOD PAH, MVR # 25 CHVP + PARTIAL
GOOD LV, SR PMLP
DR. PRAVEEN VARMA P.K.
232 364474 MURALEEDARAN 62 M 9‐Dec‐2013 CAD, TVD, GD LV, SR, DM, CABG X 4 ( LIMA TO LAD; RSVG
PILLAI P HTN, OA TO RI, LOWER DIVISION OF
MAJ OM & PDA )
DR. JAYAKUMAR K
233 361067 MURUGAN .M 67 M 10‐Dec‐2013 CAD, TVD, GOOD LV, SR, CABG X 5 (LIMA TO LAD; RSVG
DM, HTN TO OM1, OM2, OM3 & PDA )
DR. JAYAKUMAR K
234 370534 JAYALAKSHMY .S 51 F 10‐Dec‐2013 CAD, TVD, GD LV, SR, DM, CABG X 4 GRAFTS (LIMA TO
HTN, GASTRITIS LAD, RSVG TO RI, MAJOR OM
AND RPDA) (SEQUENTIAL RSVG
TO PROXIMAL AND DISTAL RI)
DR.SIMRAN KUNDAN
235 363158 PRIYADARSHINI 29 F 11‐Dec‐2013 ACHD,OSASD,GDLV,SR TPP CLOSURE OF OS ASD
RAJEEV
DR. PRAVEEN VARMA P.K.
236 359420 UMMATHUK. 56 F 11‐Dec‐2013 RHD, SEVERE MS, SEVERE DVR ( MVR # 23 SJM + PMLP +
AS, MOD AR, MILD MR, AVR # 17SJR )
LVH, SR
DR. VARGHESE T.PANICKER
237 364219 BEENA JOSE Y.S. 35 F 12‐Dec‐2013 ACHD,SVC TYPE SVASD DOUBLE PATCH CLOSURE OF
WITH OVER RIDING OF ASD
RUPV
48
Sl. No. HNO NAME AGE SEX DOS DIAGNOSIS PROCEDURE SURGEON
DR. PRAVEEN VARMA P.K.
238 364587 SATHYASEELAN VM 54 M 12‐Dec‐2013 CAD, TVD, MODERATE LV CABG X 3 ( LIMA TO LAD; RSVG
DYSFUNCTION, SR, DM, TO MAJOR OM & RPDA )
HTN
DR. JAYAKUMAR K
239 370122 JAYAKUMAR G 59 M 13‐Dec‐2013 CAD, TVD, IWMI, MILD LVD, CABG X 6 ( LIMA TO LAD; RSVG
MILD MR, SR, DM, HTN, TO D1, D2, MAJOR OM, RPDA
DLP & RPLB )
DR. VIVEK V. PILLAI
240 276686 SHAHUL HAMEED M. 54 M 13‐Dec‐2013 CAD, TVD, GD LV, SR, DM, CABG X 3 ( LIMA TO LAD; RSVG
HTN TO D1 & LPDA )
DR. VIVEK V. PILLAI
241 358769 KAMAR LAILA P M 43 F 15‐Dec‐2013 PERICARDIAL EFFUSION S/P SUBXIPHOID PE DRAINAGE
ASD CLOSURE
DR. JAYAKUMAR K
242 363946 SATHYADETH B. 58 M 16‐Dec‐2013 CAD, TVD, GOOD LV, SR, CABG X 5 ( LIMA TO LAD; RSVG
DM TO D1, OM3, OM4 & RPDA )
DR. JAYAKUMAR K
243 355347 SREERAJ .P 35 M 16‐Dec‐2013 ACHD, SV ASD, GDLV, SR DOUBLE PATCH REPAIR
DR. PRAVEEN VARMA P.K.
244 2107 NISSAMUDEEN.H. 47 M 17‐Dec‐2013 RHD, SEV MR, SEV AR, MILD DVR ( MVR # 27 CHVP + PMLP +
MS, MODERATE LV AVR # 23CHVP ) + CABG X 2 (
DYSFUNCTION, CAD, DVD, RSVGTOD1 & TERM OM )
SR, DM
DR. PRAVEEN VARMA P.K.
245 194327 CHANDRA S. 65 F 18‐Dec‐2013 RHD, SEV MR, RE‐MS ( S/P MVR # 25 CHVP & PMLP+
PTMC ), TRIVIAL TR & AR, CABG X 2 ( RSVGTOLAD &
GOOD LV, MILD PAH, CAD, OM 1 )
DVD, SR, DM
49
Sl. No. HNO NAME AGE SEX DOS DIAGNOSIS PROCEDURE SURGEON
DR. JAYAKUMAR K
246 333252 SASIDHARAN NAIR K N 57 M 20‐Dec‐2013 CAD, TVD, OLD AWMI, CABG X 6 ( LIMA TO LAD; RSVG
SEVERE LVD, SR, HTN, DM, TO D1, OM1, OM2, OM3 &
DLP RPDA ) + APICAL &
ANTEROLATERAL WALL
PLICATION
DR. BALASUBRAMONIAM
247 243582 NAZAR A. 57 M 22‐Dec‐2013 S/P CABG, VB STROKE, LF EXPLORATORY
PULMONARY LACERATION THORACOTOMY & REPAIR OF K.R.
(LF ) WITH HEMOTHORAX, PULMONARY LACERATION
DM, HTN, DLP
DR. JAYAKUMAR K
248 365186 KAMALASANAN. P.N. 49 M 31‐Dec‐2013 CAD, SVD, GD LV, SR, DLP, CABG X 3 ( LIMA TO LAD; RSVG
COPD TO LAD & D1 )
DR. JAYAKUMAR K
249 369690 RAVEENDRAN NAIR P 68 M 1‐Jan‐2014 CAD, TVD, GD LV, SR, DM, CABG X 5 ( LIMA TO LAD; RSVG
HTN, S/P PCI TO LAD TO D2, OM1, RPDA, RPLB WITH
D2 PIGGY BACKED TO OM1 )
250 363971 RAJAN K 67 M 2‐Jan‐2014 CAD, DVD, GD LV, SR CABG X 4 ( LIMA TO LAD; RSVG
TO DISTAL RCA, D1 & ACUTE
MARGINAL PDA )
DR. BAIJU S.DHARAN
251 371224 LIYA FATHIMAP. 0 F 3‐Jan‐2014 CCHD, DTGA, SMALL MUS ASO + VSD CLOSURE WITH
VSD, PDA, 1LR2CX, STENTED STERNUM
PRESERVED LV, PAH, SR
DR. PRAVEEN VARMA P.K.
252 8905083 MOHIDEEN PATHU.M. 37 F 6‐Jan‐2014 RHD, SEV AS, MOD AR, REDOSTERNOTOMY + AVR # 17
S/POMV 2004, SJR + AORTOPLASTY DONE
KYPHOSCOLIOSIS, WITH BPP
RESTRICTIVE LUNG DISEASE
50
Sl. No. HNO NAME AGE SEX DOS DIAGNOSIS PROCEDURE SURGEON
DR. PRAVEEN VARMA P.K.
253 318623 RAHIM S 53 M 7‐Jan‐2014 CAD.TVD,MOD LVD,SR,/P CABG X 3 GRAFTS (LIMA‐
PTCA(LAD&RCA) LAD,RSVG‐RPDA,RPLB)
DR. BINEESH K.R.
254 345556 MATHI V 57 F 7‐Jan‐2014 ACHD, OSASD, SEVERE DIRECT CLOSURE OF ASD
PAH,SR
DR. PRAVEEN VARMA P.K.
255 369175 ANIL KUMAR K. 40 M 8‐Jan‐2014 MVP, MOD MR, GD LV, SR, MV REPAIR WITH # 35 TAILOR
NC ANNULOPLASTY RING
DR. VIVEK V. PILLAI
256 338024 SUMAYYA .K 22 F 8‐Jan‐2014 RHD, MVP, SEV MR, MILD MVR # 25MMPM + PMLP
PAH, GD LV, SR
DR. JAYAKUMAR K
257 372451 BABU DANIEL 51 M 9‐Jan‐2014 CAD, TVD, FAIR LV, CKD, CABG X 3 ( LIMA TO LAD; RSVG
DM, HTN, DLP TO OM1 & RPDA )
DR. PRAVEEN VARMA P.K.
258 368376 BABU THOMAS 52 M 10‐Jan‐2014 RHD, MVP OF PML, SEV MR, MVR #29 CHVP+PMLP
MOD TR, SEV PAH, GDLV,
SR
DR. VIVEK V. PILLAI
259 236701 PURUSHOTHAMAN 52 M 13‐Jan‐2014 RHD, S/P MVR(2005), REDOSTERNOTOMY + MVR #25
ACHARI.D. RECURRENT FUNGAL IE, CHVP
FAIR LV, MODERATE PAH,
NC, AF, DM
DR. JAYAKUMAR K
260 365768 GANESH K.R. 53 M 17‐Jan‐2014 CAD, TVD, GOOD LV, SR CABG X 4 ( LIMA GTO LAD;
RSVG TO D2, TERMINAL OM &
ACUTE MARGINAL PDA )
51
Sl. No. HNO NAME AGE SEX DOS DIAGNOSIS PROCEDURE SURGEON
DR. VIVEK V. PILLAI
261 354184 MEENA V 46 F 20‐Jan‐2014 ACHD,OP ASD,CLEFT PAVCD REPAIR(BOVINE
AML,MOD MR,MOD PERICARDIAL PATCH CLOSURE
PAH,GDLV,SR,NC OF OP ASD+CLEFT AML REPAIR)
DR. JAYAKUMAR K
262 372063 PRABHAKARAN NAIR 56 M 21‐Jan‐2014 CAD,TVD,GDLV,SR,DM,DLP, CABG X 6 GRAFTS (LIMA ‐LAD;
S. VV RSVG‐MAJ D,BOTH BRANCHS
OF OM,AM,DISTAL RCA)
DR. BINEESH K.R.
263 364659 IYAPPANA 20 M 21‐Jan‐2014 ACHD,SV ASD, MILD PAH, DOUBLE PATCH REPAIR
SR
DR. SUDIP DUTTA BARUAH
264 364139 RENJITH A T 25 M 22‐Jan‐2014 ACHD, OSASD, SR PERICARDIAL PATCH CLOSURE
DR. PRAVEEN VARMA P.K.
265 370569 STEPHEN N 54 M 22‐Jan‐2014 CAD, TVD ,RECENT IWMI, CABG X 4 GRAFTS(LIMA‐
GOOD LV, SR, DM, HTN. LAD,RSVG‐
MAJ.D,MAJ.OM,DISTAL RCA)
DR. JAYAKUMAR K
266 9700844 RAJAN BABU.V.K. 61 M 23‐Jan‐2014 CAD,DVD,IWMI CABGX4 GR(LIMA TO LAD
(OLD),GDLV,S/P PTCA TO ,RSVG TO MAJ DIAGONAL, MAJ
LAD‐OM), MILD ISR,SR,HTN OM AND TERM. OM)
DR. MOHAMMED IDHREES
267 334091 VINOTH R 23 M 23‐Jan‐2014 ACHD, OS ASD, MILD PAH, TPP CLOSURE OF ASD
GOOD LV, SR A.
DR. VARGHESE T.PANICKER
268 358295 MANIKANDAN .K 33 M 24‐Jan‐2014 RHD, SEV CAL MS, MILD MVR # 23CHVP + TVA # 28MM
MR, ,SEV TR, MOD AR, MC3 RING
MODERATE RV
DYSFUNCTION, SEVERE
PAH, SR
52
Sl. No. HNO NAME AGE SEX DOS DIAGNOSIS PROCEDURE SURGEON
DR. PRAVEEN VARMA P.K.
269 358762 KUMAR K 57 M 27‐Jan‐2014 CAD,TVD,GD LV, PAPVC OF CABG X 3 GRAFTS (LIMA TO
RUPV & RMPV, SR, DM, LAD,RSVG TO D1 AND
HTN OM1)+DOUBLE PATCH REPAIR
DR. PRAVEEN VARMA P.K.
270 343772 YESODA E K 51 F 28‐Jan‐2014 RHD, SEV CAL MS, MILD DVR( MVR # 25CHVP WITH
MR, SEVERE AS, MILD AR & PMLP + AVR # 19 SJR ) + LAA
TR, SEVERE PAH, GOOD LV, EXCISION
AF
DR. PRAVEEN VARMA P.K.
271 353461 RADHA P 40 F 29‐Jan‐2014 RHD,SEV MS,MILD MR, SEV DVR(MVR#25 CHVP WITH
AS,MOD AR,MILD PMLP + AVR#19SJR)
TR,LVH,MOD PAH,SR
DR. JAYAKUMAR K
272 362611 THAJUDHEEN .A 57 M 30‐Jan‐2014 CAD,TVD,GDLV,SR,HTN,DM, CABG X 5 (LIMA‐LAD,RSVG‐
DLP,SCARRED MAJ D,MAJ OM,RPDA,RPLB)
MYOCARDIUM(INFERIOR
AND POSTERIOR BASAL
REGION)
DR. PRAVEEN VARMA P.K.
273 352252 SHAILA T K 36 F 30‐Jan‐2014 RHD,SEV MS,MOD MVR 24 #CHVP + PMLP
MR,MILD AR,MILD
PAH,GDLV,SR
DR. PRAVEEN VARMA P.K.
274 372501 SHYLAJAN S. 49 M 31‐Jan‐2014 CAD, TVD, OLD IWMI, MILD CABG X 3 ( LIMA TO LAD; RSVG
LVD, SR, DM, HTN, DLP TO MAJ OM & PDA )
DR. JAYAKUMAR K
275 365221 THANKAMANI AMMA 47 F 3‐Feb‐2014 CAD, TVD, OLD AWMI, CABG X 4 ( LIMA TO LAD; RSVG
MODERATE LVD, SR, HTN TO MAJ OM, TERM OM &
RPDA ) + LINEAR PLICATION
53
Sl. No. HNO NAME AGE SEX DOS DIAGNOSIS PROCEDURE SURGEON
DR. VARGHESE T.PANICKER
276 334865 SANTHI S 54 F 3‐Feb‐2014 MVP OF PML (P2 & P3), MV REPAIR WITH
SEVRE MR, MILD PAH, SR, QUADRANGULAR RESCTION OF
DM, HTN P2WITH MVA # TAYLORS 25
RING
DR. JAYAKUMAR K
277 368439 MOHANAN P 56 M 4‐Feb‐2014 CAD, TVD, GR I DIASTOLIC CABG X 43 ( LIOMA TO LAD;
DYSFUNCTION, SR, DM, RSVG TO D2, LATERAL BRANCH
HTN & DLP OF MAJ OM & LPDA )
DR. PRAVEEN VARMA P.K.
278 357665 POOLUDAYAR S. 57 M 5‐Feb‐2014 MVP P2 SEGMENT, SEV.MR, MV REPAIR ( TRIANGULAR
MILD TR, SEV PAH, GOOD RESSECTION + ANNULOPLASTY
LV, SR, NC WITH # 27 TAYLOR RING )
DR. PRAVEEN VARMA P.K.
279 352152 NASEERA C.P. 47 F 6‐Feb‐2014 RHD,S/P CMV,SEV RE DVR(MVR #25
MS,MILD MR,MOD AS,MILD CHVP+PMLP+AVR #17 SJR)+
AR,MILD TR,MOD AORTOPLASTY+ CABG X 2
PAH,CAD,DVD,GDLV,SR,HT GRAFTS(RSVG TO OM1 & PDA)
N
DR. JAYAKUMAR K
280 373603 NAGULU V.R. 24 M 7‐Feb‐2014 MARFAN'S SYNDROME, MODIFIED BENTALL'S
ASCENDING AORTIC PROCEDURE WITH 267MM
ANEURYSM, TYPE A AORTIC ALBOGRAFT & 25 CHVP +
DISSE CTION, SEVERE AR, WRAP AORTOPLASTY
MILD LVD, SR
DR. PRAVEEN VARMA P.K.
281 361202 SHYLAMANI.P.M 46 F 7‐Feb‐2014 S/P MVR #27CHVP, PE SUBXIPHOID PERICARDIAL
DRAINAGE
DR. PRAVEEN VARMA P.K.
282 372501 SHYLAJAN S. 49 M 15‐Feb‐2014 SEV CAL AS, LVH, SR AVR# 21CHVP
54
Sl. No. HNO NAME AGE SEX DOS DIAGNOSIS PROCEDURE SURGEON
DR. VARGHESE T.PANICKER
283 359840 RAJEEV.K 41 M 25‐Feb‐2014 RHD,SEV MS,MILD AR,MILD MVR # 25 CHVP +PMLP+ LA
TR,MOD PAH,AF,NC CLOT EXTRACTION.
DR. JAYAKUMAR K
284 270581 JOSE C. D. 51 M 26‐Feb‐2014 CAD, TVD, GDLV, SR, DM, CABG X 4GRAFTS(LIMA‐LAD &
HTN, DLP RSVG‐D1,TERM OM,PDA)
DR. VARGHESE T.PANICKER
285 9904114 SHYLA.O. 42 F 28‐Feb‐2014 RHD,S/P BMV,SEV RE MVR #23 CHVP +PMLP +LAA
MS,MILD PAH,LA CLOT,FAIR EXCLUSION
LV,AF,NC
DR. JAYAKUMAR K
286 355333 LALU .P 46 M 28‐Feb‐2014 CAD, TVD, GD LV, SR, HTN, CABGX6 GRAFTS(LIMA‐LAD
DLP AND RSVG TO
D1,OM1,OM2,TERM OM &
PDA)
DR. PRAVEEN VARMA P.K.
287 14954 OMANA 56 F 3‐Mar‐2014 RHD,S/P CMV,RE‐SEV MVR#27CHVP AND TV
MS,MILD MR,MILD ANNULOPLASTY #30 MC3 RING
AR,MOD PAH,GDLV,AF,NC
DR. PRAVEEN VARMA P.K.
288 368143 VELLASAMY S 62 M 3‐Mar‐2014 CAD,TVD,GDLV,SR,DM,HTN, CABG X 3 GR(LIMA TO
DLP LAD,RSVG TO TER OM,RPDA)
DR. PRAVEEN VERMA P. K.
289 357079 BAKKIRMOHIDEEN S. 44 M 4‐Mar‐2014 RHD,SEV MS,SEV MVR #25 CHVP + PMLP +AVR
AS,MODAR,MODMR,,MILD #21 CHVP
TRMODPAH,SR,GDLV,NC,
SEIZUREDISORDER
55
Sl. No. HNO NAME AGE SEX DOS DIAGNOSIS PROCEDURE SURGEON
DR. BINEESH K.R.
290 346190 JAGAN N 30 M 5‐Mar‐2014 RHD, SEVERE MS, MVR # 27 CHVP + PMLP
MODERATE MR,
MODERATE TR, MODERATE
PAH, SR
DR. BINEESH K.R.
291 368583 JOHNY V C 49 M 6‐Mar‐2014 BAV, SEVERE AR, DILATED AVR # 21 CHVP
LV, SR, NC
DR. VARGHESE T.PANICKER
292 9006967 SUBAIDA.M. 45 F 7‐Mar‐2014 RHD,SEV MR,MILD TR,DIL MVR #29 CHVP + PMLP
LV,MILD PAH,GDLV,AF,DM
DR. JAYAKUMAR K
293 368510 SADIQUE S 48 M 10‐Mar‐ CAD,TVD,OLD IWMI,S/P PCI CABG X 3 GRAFTS(LIMA TO
2014 TO RCA,GDLV,SR LAD,RSVG TO OM1,OM2)
DR. JAYAKUMAR K
294 355398 ABDUL FAISI .M 48 M 10‐Mar‐ CAD, TVD, GDLV, SR, DM CABGX6G (LIMA‐LAD, RSVG‐
2014 D1, OM1, RI, RPDA &RPLB)
DR. VIVEK V. PILLAI
295 356004 AISWARYA NANDAN 17 F 11‐Mar‐ POST IE A2 PERFORATION MVR # 27 CHVP WITH PMLP +
2014 WITH PML PROLAPSE WITH TVA WITH 28MM MC3 RING
SEVERE MR, MODERATE TR,
SEVERE PAH, RV
DYSFUNCTION, SR, LEFT
HEMIPLEGIA FOLLOWING
CEREBRAL ABSCESS
DR. JAYAKUMAR K
296 367131 MONI .K 74 M 12‐Mar‐ CAD,TVD,OLD CABG X 5 GRAFTS(LIMA TO
2014 IWMI,GDLV,SR,CHRONIC LAD,RSVG TO D1,OM1,TER
CAL CHOLECYSTITIS,BPH OM,RPDA)
S/PTURP,VARICOSEVEINS
56
Sl. No. HNO NAME AGE SEX DOS DIAGNOSIS PROCEDURE SURGEON
DR. JAYAKUMAR K
297 372028 NIRMALAAMMA S. 64 F 13‐Mar‐ CAD, TVD, RECENT MI, CABG X 4 ( LIMA TO LAD; RSVG
2014 MODERATE LV TO MAJ D, MAJ OM & RPDA )
DYSFUNCTION, SR, DM
DR. VARGHESE T.PANICKER
298 365228 UMMAR K.K. 47 M 14‐Mar‐ RHD, SEVERE MS, MILD MR, MVR # 25 CHVP WITH PMLP +
2014 TR & AR, SEVERE PAH, AF, LA CLOT EXTRACTION
LA CLOT
DR. BINEESH K.R.
299 367995 VINESH THOMAS 27 M 18‐Mar‐ ACHD, SVASD WITH PAPVC DOUBLE PATCH REPAIR
2014 OF RUPV & RMPV
DR. JAYAKUMAR K
300 375066 CHERIYA KOYA A 60 M 19‐Mar‐ ASCENDING AORTIC MODIFIED BENTALL'S
2014 ANEURYSM, SEV AR, CAD, PROCEDURE ( 25 CHVP + 28
TVD, DILATED LV, MILD LVD ALBOGRAFT ) + CABG X 3 (
RSVG TO LAD, MAJ OM & D1)
DR. JAYAKUMAR K
301 374265 SARAMMA THOMAS 61 F 20‐Mar‐ CAD, TVD, RECENT IWMI, CABG X 5 ( LIMA TO LAD; RSVG
2014 GOOD LV, SR, HTN, DLP TO MAJ DIAG, RAMUS, MAJ
OM & RPDA )
DR. JAYAKUMAR K
302 361921 SEBASTIAN GEORGE 37 M 21‐Mar‐ VALVE THROMBOSIS WITH MVR # 21 CHVP + AVR # 21
2014 SUBMITRAL ANEURYSM, CHVP+ TV BICUSPIDISATION
S/P MVR + SUB MITRAL WITH SUBMITRAL ANEURYSM
ANEURYSM REPAIR, SEVERE REPAIR
PARAVALVULAR AR, MILD
LV DYSFUNCTION, MOD TR,
SR
57
Sl. No. HNO NAME AGE SEX DOS DIAGNOSIS PROCEDURE SURGEON
DR. PRAVEEN VARMA P.K.
303 9611 MUTHU BEEVI C K 48 F 24‐Mar‐ RHD, SEV MR, MILD PAH, MVR # 27CHVP + PMLP
2014 AF, NC
DR. BINEESH K.R.
304 366252 ASHRAF K.K. 47 M 25‐Mar‐ RHD, SEV MR, MILD PAH, MVR # 27CHVP + PMLP
2014 AF, NC
DR. VIVEK V. PILLAI
305 373094 SURENDRAN ACHARY 61 M 25‐Mar‐ CAD, LMCA, TVD, GOOD LV, CABG X 4 ( LIMA TO LAD; RSVG
P 2014 SR, HTN TO D1, OM1 & RPDA )
DR. BINEESH K.R.
306 371605 SUDHAK. 46 F 26‐Mar‐ ACHD, SV ASD, PAPVC, DOUBLE PATCH REPAIR OF SV
2014 MILD PAH, SR, NC ASD
DR. VARGHESE T.PANICKER
307 372512 VINCENT J 79 M 27‐Mar‐ SEV CAL AS,MILD AR, LVH, AVR # 21 PM MAGNA
2014 NC, SR, RENAL DYS
DR. BINEESH K.R.
308 364649 ARUN S. 17 M 28‐Mar‐ ACHD, SVASD WITH PAPVC DOUBLE PATCH REPAIR +
2014 OF RUPV & RMPV, PFO,SR DIRECT CLOSURE OF PFO
DR. BINEESH K.R.
309 247393 THAHIRA P.I. 37 F 31‐Mar‐ RHD, SEV REMS ( S/P BMV MVR # 27 CHVP + PMLP
2014 ), MILD MR, MILD PAH, SR
DR. VIVEK V. PILLAI
310 367225 SASI S 41 M 1‐Apr‐2014 CAD, TVD, GOOD LV, SR, CABG X 5 ( LIMA TO LAD; RSVG
HTN, TO D1, OM2, DISTAL LAD &
RPDA )
DR. VIVEK V. PILLAI
311 365572 PREMNATH V. 43 M 2‐Apr‐2014 CAD, TVD, LVD, SR, DM CABGX 5 GRAFT(LAD,MAJ
DIAG, ACUTE
MARGINAL,RPDA,RPLP
58
Sl. No. HNO NAME AGE SEX DOS DIAGNOSIS PROCEDURE SURGEON
DR. JAYAKUMAR K
312 368344 GOPAKUMAR K 57 M 3‐Apr‐2014 CAD,TVD,GDLV,SR,DM CABG X 6 GRAFTS(LIMA TO
LAD,RSVG TO D1,RI,MAJ
OM,RPDA,RPLB)
DR. VARGHESE T.PANICKER
313 372455 SATHYARAJK. 56 M 4‐Apr‐2014 FLAIL PML, SEV MR, CAL MV REPAIR,ARTIFICIAL
MITRL ANN, GDLV, SR, CHORDOPLASTY OF P2
MOD PAH, DLP, NC SEGMENT WITH B/L
COMMISUROPLASTY
DR. JAYAKUMAR K
314 377228 SADASIVANK.S 62 M 7‐Apr‐2014 CAD,REC NSTEMI ,TVD, SR, CABGX4 GR,LIMA‐LAD,RSVG‐
HTN,DLP D1,MAJ OM,RPADA
DR. JAYAKUMAR K
315 376017 THOMAS DANIEL 67 M 9‐Apr‐2014 CAD TVD GDLV SR HTN DLP CABGX 7 GR,LIMA‐LAD,RSVG‐
D1,RI,OM1,DISTALOM,RPDA,A
M
DR. JAYAKUMAR K
316 369882 RAMLABEEVI S 51 F 11‐Apr‐2014 CAD TVD GDLV SR DM HTN CABGX 4 GRAFTS,LIMA‐
LAD,RSVG‐D1,DISTAL OM,AM
DR. VIVEK V. PILLAI
317 373436 KUMARAN POTTY N. 62 M 22‐Apr‐2014 CAD, DVD, MOD‐ SEV LV CABGX 1GRAFT(RSVG‐ DISTAL
DYSFUNCTION, SEV PAH, OM) + MVR 25 PM
SR, DM( RECENT MI) SEV
MR
DR. JAYAKUMAR K
318 370509 VALSALAD 54 F 23‐Apr‐2014 CAD,LMCA,TVD,GDLV,SR,D CABG X 5 GRAFTS(LIMA TO
M,HTN,DLP LAD,RSVG TO D1,
OM1,RPDA,RPLB)
DR. JAYAKUMAR K
319 373151 SYAMALA BABU 53 F 24‐Apr‐2014 CAD,TVD,MOD LVD,SR,DM CABG X 5 GRAFTS(LIMA TO
LAD,D1,D2,RPDA,RPLB)
59
Sl. No. HNO NAME AGE SEX DOS DIAGNOSIS PROCEDURE SURGEON
DR. BINEESH K.R.
320 359772 KARUPAI.K 56 F 25‐Apr‐2014 RHD, SEVERE MS, MILD MR, MVR # 23 CHVP + PMLP
MILD TR, MILD PAH, GOOD
LV, AF, NC
DR. VARGHESE T.PANICKER
321 356171 ASAM BEEVI.A 57 F 28‐Apr‐2014 RHD, S/P CMV RE‐MS, MILD DVR ( MVR # 23CHVP WITH
MR, SEV CALCIFIC AS, MOD PMLP + AVR # 17 CHVP ) + TVA
AR, SEVERE TR, SEV PAH, # 28MM MC3 RING
GDLV, AF
DR. BINEESH K.R.
322 370143 SINDHU T 28 F 29‐Apr‐2014 OSASD,SEV TPP CLOSURE OF
PAH,BIDIRECTIONAL ASD+PULMONARY VALVE
SHUNT,GDLV,SR INSPECTION
DR. VARGHESE T.PANICKER
323 323575 PUSHPA LEELI. C 51 F 30‐Apr‐2014 SEV CAL AS,MOD AVR#19 CHVP
AR,GDLV,SR,NC,BRONCHIAL
ASTHMA
DR. VARGHESE T.PANICKER
324 374940 NANCI JOHN 49 F 2‐May‐2014 RHD,SEV AS,MOD AR, MILD AVR 19 CHVP+ MV REPAIR
MR,MILD MS, GDLV, SR
DR. JAYAKUMAR K
325 374090 VEERANKUTTY C P 41 M 5‐May‐2014 ANNULO AORTIC ECTASIA MODIFIED BENTALLS( 25
ASC AORTIC ANEURYSM, CHVP + 28 MM ALBOGRAFT)
SEV AR, DILATED LV, SR, NC
DR. VIVEK V. PILLAI
326 297334 DEVARAJAN S 58 M 6‐May‐2014 CAD, TVD, OLD MI, ACS, CABG X6 GRAFTS LIMA‐LAD,
MOD LVD, SR RSVG‐MAJ OM, MAJ DIAG, RI,
RPDA & RPLB
60
Sl. No. HNO NAME AGE SEX DOS DIAGNOSIS PROCEDURE SURGEON
DR. JAYAKUMAR K
327 371535 RAVEENDRAN S. 60 M 8‐May‐2014 CAD,TVD,OLD CABG X 7 GR(LIMA TO
AWMI,GDLV,SR,DM,HTN,DL LAD,RSVG TO
P D3,RI,OM1,OM2,RPDA,RPLB)
DR. JAYAKUMAR K
328 373585 KESAVAN K.G. 51 M 9‐May‐2014 CAD,TVD,LMCA,MILD LV CABG X 6 GRATFTS LIMA‐LAD,
DYSFUN,DM,SR RSVG‐ MAJ DIAG, OM1, TERM
OM, RPDAAND RPLB
DR. JAYAKUMAR K
329 377901 SHAHUL HAMEEDH T 61 M 12‐May‐ CAD,OLD CABGX4 GRAFTS LIMA‐LAD,
M 2014 IWMI,TVD,DLP,OLD RSVG‐ MAJ DIAG, MAJ OM&
CVA,GDLV,SR,COPD, VV B/L RPDA
DR. JAYAKUMAR K
330 363799 KUTTAPPAN . N 70 M 12‐May‐ CAD, OLD IWMI,TVD, GDLV, CABG X 5 GRAFTS RSVG TO
2014 DLP, SR, DM, HTN, COPD D1,D2,OM2,OM3 & RPDA
DR. PRAVEEN VARMA P.K.
331 365576 RAJEEVAN M.M. 42 M 13‐May‐ CAD,DVD,ISCHEMIC MR, MVR # 27 CHVP WITH TOTAL
2014 MILD‐MOD LVD CHORDAL PRESERVATION
DR. PRAVEEN VARMA P.K.
332 377310 SYED IBRAHIM 58 M 15‐May‐ CAD,TVD,MOD LV CABG X 4GRAFTS(LIMA‐‐
2014 DYSFUNCTION,MILD MR,SR >LAD,RSVG‐‐>RI,DIST RCA &
DIST LAD)
DR. PRAVEEN VARMA P.K.
333 371420 ABDUL SALAM.M 46 M 16‐May‐ CAD, TVD, REC AWMI, MOD CABGX 4GRAFTS (LIMA‐LAD
2014 LV DYSFUNCTN, SR, HTN, AND RSVG‐ OM3, OM4 &
DLP RPDA)
DR. PRAVEEN VARMA P.K.
334 368376 BABU THOMAS 52 M 16‐May‐ S/P MVR #29 CHVP + PMLP WOUND DEBRIDMENT AND
2014 WITH DISCHARGING SINUS STERNAL WIRE REMOVAL
DISCHARGE
61
Sl. No. HNO NAME AGE SEX DOS DIAGNOSIS PROCEDURE SURGEON
DR. JAYAKUMAR K
335 370837 ARAVINDAKSHAN V 60 M 19‐May‐ CAD,TVD,FAIR LV,MILD CABG X 5 GRAFTS,LIMA‐
2014 PAH,MILD MR,SR,DM LAD,RSVG‐D1,OM1,POST CRUX
RCA,PDA
DR. PRAVEEN VARMA P.K.
336 9009541 BABU.T.P. 53 M 29‐May‐ RHD, BAV, SEV AR, AVR # 27 CHVP
2014 MODERATE MR, DILATED
LV WITH MODERATE LVD
DR. VARGHESE T.PANICKER
337 378029 KAMALAM K 67 F 30‐May‐ RHD, SEV MR, MOD PAH, MVR # 25 PM + PMLP
2014 WIDE QRS TACHYCARDIA
DR. SABARINATH MENON
338 345201 GOWRI SANKAR .P 2 M 2‐Jun‐2014 CCHD, TOF, GOOD PA , SR, ICR
NC, SPELLS
DR. SABARINATH MENON
339 250071 ANJANA A.B. 12 F 3‐Jun‐2014 ACHD, SA VSD, MILD PAH, GORTEX PATCH CLOSURE OF
GD LV, SR VSD
DR. SABARINATH MENON
340 364851 ABHINAV V A 1 M 4‐Jun‐2014 CCHD,TOF,CONF PA, GD LV, ICR+ TAP+MONOCUSP
SR, SPELLS RECONSTRUCTION OF RVOT
DR. BAIJU S.DHARAN
341 379788 ANTOARUN 0 M 5‐Jun‐2014 S/P NORWOODS STAGE 1 DSC
WITH STENTED STERNUM
DR. BAIJU S.DHARAN
342 345480 KRISH P S 5 M 5‐Jun‐2014 CCHD, SA, LC, LEFT ATRIAL KAWASHIMA PROCEDURE+
ISOMERISM, NON AVVR REPAIR( CLEFT REPAIR +
OBSTRUCTIVE COMMISSUROPLASTY +
CORTRIATRIATUM, REDUCTION ANNULOPLASTY )
,SV(LV),COMMON AVV RACHS 4
WITH MODERATE AVVR,
LSVC, INTERRUPTED IVC
62
Sl. No. HNO NAME AGE SEX DOS DIAGNOSIS PROCEDURE SURGEON
DR. SABARINATH MENON
343 378304 MUHAMMED SHIFAN 0 M 6‐Jun‐2014 CCHD, DORV, MILD PS, PA BANDING # 26 MM ‐‐‐‐‐‐‐‐‐‐‐
MODERATE MS, SEVERE >DEBANDING
PAH, SR
DR. BAIJU S.DHARAN
344 209359 SRUTHI RAJ.K. 11 F 9‐Jun‐2014 CCHD,TOF,P/LMBTS(2003), ICR+27 PULMONARY
P/BPV(2009)P/BDG+LMBTS HOMOGRAFT+BDG
INTRPN(2010),LAD TAKEDOWN + PFO OPEN
CROSSINGRVOT
CONFLUENT PA, SR
DR. SUDIP DUTTA BARUAH
345 334380 ASWIN S 5 M 10‐Jun‐2014 ACHD,OS ASD,GD LV, SR TPP CLOSURE OF OS ASD
DR. SABARINATH MENON
346 360200 REYA BETTY.A 1 F 10‐Jun‐2014 TOF WITH DCVSD, INFUN & ICR+MPA AND RPAPLASTY
VAL PS, RPA STENOSIS.
DR. SABARINATH MENON
347 376117 FATHIMARIFA.V 4 F 12‐Jun‐2014 TOF, INF & PS, GOOD PA, ICR,RVOT PATCH,ADDITIONAL
ADD MM VSD MID MUSCULAR VSD CLOSURE
DR. BAIJU S.DHARAN
348 320573 GOWRI NANDANA S 3 F 13‐Jun‐2014 CCHD,PA,SA VSD,CONF UNIFOCALIZATION OF
PA,MAPCAS,SR MAPCA'S + ICR + #23
PULMONARY HOMOGRAFT
FOR RV‐PA + RPA
AUGMENTATION WITH
HOMOGRAFT PATCH)
DR. SABARINATH MENON
349 351593 AKSHAYLAL S S 1 M 16‐Jun‐2014 CCHD,TOF,GOOD PA ICR(
DR. SABARINATH MENON
350 366417 ASHMI.K.S 0 F 17‐Jun‐2014 PA VSD, CONF PA, P/PDA BDG+CONFLUENCE AND LPA
STENTING, LPASTENOSIS, PLASTY WITH BPP
63
Sl. No. HNO NAME AGE SEX DOS DIAGNOSIS PROCEDURE SURGEON
DR. BAIJU S.DHARAN
351 333803 ANSATH SAHAL T P 4 M 18‐Jun‐2014 ACHD,SUPRA VALVULAR DOTTY'S AORTOPLASTY WITH
AS,CONFL PA,LVH,SR BPP
DR. SUDIP DUTTA BARUAH
352 366372 HANNA FATHIMAR. F 3 F 18‐Jun‐2014 ACHD,SV ASD, PAPVC RUPV DOUBLE PATCH REPAIR OF SV
& RMPV, GD LV, SR ASD
DR. SABARINATH MENON
353 315411 THANMAYA VINOD 4 F 20‐Jun‐2014 ACHD, SAVSD, PDA, SEVERE GORETEX PATCH CLOSURE VSD
PAH, SR + PDA LIGATION WITH PFO
KEPT OPEN
DR. REENUS DEMEL X
354 375882 KANITHAI 11 F 20‐Jun‐2014 ACHD,OS ASD,MILD PAH,SR PP CLOSURE OF OS ASD
DR. SABARINATH MENON
355 380752 ABDULLASHEBIN 0 M 21‐Jun‐2014 ACHD, POST SUBCLAVIAN RESSECTION & EXTENDED END
SEVERE COA, MODERATE TO END ANASTOMOSIS
TO SEVERE LVD, MILD MR,
SR
DR. BAIJU S.DHARAN
356 375102 SARAN KRISHNA 0 M 23‐Jun‐2014 CCHD, IC‐TAPVC, PA WITH B/L BDGS+ IC TAPVC REPAIR (
RPA & LPA ORIGIN PRIMARY SUTURELESS
STENOSIS, SV(LV), LARGE TECHNIQUE )
PDA,OSASD, MAPCAS, B/L
SVC, SR, NC WITH HIATUS
HERNIA
DR. SABARINATH MENON
357 363854 VAISHNAVI V.B. 3 F 24‐Jun‐2014 ACHD, SVASD WITH PAPVC WARDEN'S PROCEDURE
OF RUPV & RMPV, SR
64
Sl. No. HNO NAME AGE SEX DOS DIAGNOSIS PROCEDURE SURGEON
DR. BAIJU S.DHARAN
358 380903 B/O BABY 0 F 25‐Jun‐2014 ACHD, JUXTADUCTAL RESSECTION & EXTENDED END
SEVERE COA, PFO, GD LV, TO END ANASTOMOSIS
SR
DR. BAIJU S.DHARAN
359 380493 B/O LALITHA 0 M 26‐Jun‐2014 CCHD, D‐TGA WITH IVS, GD ASO
LV, 1L2CXR, PDA, SR, S/P
BAS
DR. SABARINATH MENON
360 373513 ASHMIL.N 0 M 27‐Jun‐2014 CARDIAC ARREST S/P BDG + SUPPORTIVE BYPASS
ATRIAL SEPTECTOMY,
CCHD, DORV, SAVSD, SEV
PS, CONF PA, SR, RCA FROM
LAD CROSSING RVOT
DR. SABARINATH MENON
361 379661 ABHINESHA 0 F 27‐Jun‐2014 CCHD CARDIAC TAPVC TAPVC REPAIR ( CS CUTBACK
(UNOBS), OS ASD, MILD TECHNIQUE ) WITH PFO KEPT
PAH, SR, NC OPEN
DR. SABARINATH MENON
362 377131 AFRIN E.K 0 F 30‐Jun‐2014 CCHD, TOF WITH ICR WITH RVOT PATCH
INFUNDIBULAR PS, CONF
PA ANATOMY, SR, NC, H/O
SPELLS
DR. SUDIP DUTTA BARUAH
363 372053 HUSNA T 8 F 30‐Jun‐2014 ACHD, OS ASD, MILD PAH, ASD CLOSURE
SR
DR. SUDIP DUTTA BARUAH
364 373374 ALEENA.S 9 F 1‐Jul‐2014 ACHD, OSASD, SR ASD CLOSURE
65
Sl. No. HNO NAME AGE SEX DOS DIAGNOSIS PROCEDURE SURGEON
DR. BAIJU S.DHARAN
365 377271 MOHAMMED AFLAH S 0 M 2‐Jul‐2014 CCHD, TYPE 1 TRUNCUS TRUNCUS ARTERIOSUS REPAIR
ARTERIOSUS, SEVERE PAH, WITH PFO OPEN
CONF PA, PFO, SR, NC,
ABSENT THYMUS
DR. SABARINATH MENON
366 351449 JOJITH J 2 M 3‐Jul‐2014 CCHD, TOF, CONF PA, RT ICR WITH TAP WITH
ARCH,OSASD, SR,NC, MONOCUSP RECONSTRUCTION
SPELLS OF RVOT + BPP CLOSURE OF
ASD
DR. BAIJU S.DHARAN
367 364975 AIDEN VARGHESE 1 M 4‐Jul‐2014 CCHD, PA,VSD, SMALL ICR(GORTEX PATCH CLOSURE
CALIBRE LPA &RPA( OF SAVSD + RV TO PA
HYPOPLASTIC RPA ), PAD, CONDUIT # 19 AORTIC
S/P PDA STENT, NC, SR HOMOGRAFT)+ RPA & LPA
PLASTY BY TPP + PDA
INTERRUPTION
DR. SABARINATH MENON
368 302122 SULTHAN ALAVUDEEN 27 M 7‐Jul‐2014 DORV, DCVSD, ICR WITH TAP WITH
A.V. INFUNDIBULAR & MONOCUSP RECONSTRUCTION
VALVULAR PS, OF RVOT WITH LPA &
ANEURYSMAL LPA, S/P CONFLUENCE PLASTY + LMBTS
LMBTS TAKEDOWN
DR. THOMAS MATHEW
369 377812 MEDVIN MANOJ 1 M 8‐Jul‐2014 POSTERIOR MALALIGNED ICR ( GORETEX PATCH CLOSURE
VSD, LVOTO, SINGLE LPV VSD + LVOT RESSECTION +
WITH OSTIAL STENOSIS, SEPTOPARIETAL BAND
DCRV, B/L SVC WITH EXCISION ) + V‐Y PLASTY OF
UNROOFED CORONARY LPV OSTIUM + LSVC
SINUS, PFO, SR, NC INTERRUPTION
66
Sl. No. HNO NAME AGE SEX DOS DIAGNOSIS PROCEDURE SURGEON
DR. BAIJU S.DHARAN
370 367396 SAMIHA BEEVI .S 0 F 9‐Jul‐2014 D‐TGA,MULTIPLE VSDS, PA BANDING # 28MM + ATRIAL
HYPOPLASTICTV,PAH SEPTECTOMY
DR. THOMAS MATHEW
271 355031 MEENUKUTTY SURESH 1 F 10‐Jul‐2014 CCHD,SI,DC,SV(RV),DIRV,D BDG+ ATRIAL SEPTECTOMY+
ORV,SV(RV),PA,PDA,OS PDA INTERRUPTION
ASD,NC,SR
DR. THOMAS MATHEW
372 377812 MEDVIN MANOJ 1 M 11‐Jul‐2014 S/P ICR WITH CHB FOR EPICARDIAL PPI
POSTERIOR MALALIGNED
VSD, LVOTO, PV STENOSIS,
UNROOFED CS, SR
DR. THOMAS MATHEW
373 370736 VEERAR ABDULLA S 0 M 11‐Jul‐2014 TOF,CONF PA ICR(GP CLOSURE OF VSD+INF
ANATOMY,NC,SR RESECTION+RVOT PATCH AND
MPA PATCH AUGMENTATION
DR. THOMAS MATHEW
374 347626 CYRIL K SAJI 12 M 14‐Jul‐2014 CCHD, TOF WITH ICR + RVOT PATCH
INFUNDIBULAR PS, GD
CONF PA, NC, SR, SPELLS+,
SEIZURE DISORDER
DR. THOMAS MATHEW
375 380962 B/O SUNEERA 0 M 16‐Jul‐2014 S/P ASO WITH STENTED DSC
STERNUM
DR. BAIJU S.DHARAN
376 322100 SURYAJITH .P 3 M 18‐Jul‐2014 CCHD, SV (LV) PHYSIOLOGY, BDG WITH ATRIAL
L POSED AORTA, S/P PA SEPTECTOMY + PPI
BANDING, 2:1 HB, NC
67
Sl. No. HNO NAME AGE SEX DOS DIAGNOSIS PROCEDURE SURGEON
DR. THOMAS MATHEW
377 342027 MUHAMMED ADNAN 2 M 21‐Jul‐2014 CCHD, TOF WITH DCVSD, ICR + TAP
K CONFLUENT PA,SR, NC
DR. THOMAS MATHEW
378 377169 MARESHS 0 M 29‐Jul‐2014 ACHD, PV STENOSIS,SA PV PLASTY+ TPP CLOSURE OF
VSD,OSASD,MILD PS, SEV ASD& VSD+ INFUNDIBULAR
PAH,SR RESECTION
DR. THOMAS MATHEW
379 380941 PRATHEEKSHA P 1 F 30‐Jul‐2014 TOF,FAIR CONF PA, DUAL ICR+TRANSANNULAR PATCH
LAD CROSSING RVOT,B/L
SVC,SR,SPELLS
DR. BAIJU S.DHARAN
380 382425 B/O MINI 0 M 31‐Jul‐2014 TYPE B IAA WITH ABR RSCA, IAA REPAIR WITH BPP
PERIMEMBRANOUS VSD, CLOSURE VSD + ADDITIONAL
OSASD, PAH, SR, NC ASD CLOSURE WITH PFO OPEN
DR. THOMAS MATHEW
381 382425 B/O MINI 0 M 1‐Aug‐2014 SP/IAA REPAIR, STENTED DSC
STERNUM
DR. BAIJU S.DHARAN
382 230570 HARIPRASAD.R. 16 M 4‐Aug‐2014 CCHD, DORV WITH RASTELLI PROCEDURE
JUXTAARTERIAL VSD, INF &
VALVAR PS
DR. BAIJU S.DHARAN
383 234264 KANAGARAJ K. 12 M 5‐Aug‐2014 CCHD, D‐TGA, ASO + VSD CLOSURE + LVOT
SPVSD,LVOTO, GOOD LV, RESSECTION
SR, NC
DR. THOMAS MATHEW
384 381172 ALON. M. SIMON 0 M 6‐Aug‐2014 LONG SEGMENT PA,SA BT SHUNT (# 3.5 MM PTFE
VSD,B/L PDA, GOOD LV ,SR GRAFT)
DR. SABARINATH MENON
385 355764 DEVASURYA .A.S 3 F 6‐Aug‐2014 ACHD, OSASD, SR ASD CLOSURE
68
Sl. No. HNO NAME AGE SEX DOS DIAGNOSIS PROCEDURE SURGEON
DR. SABARINATH MENON
386 381172 ALON. M. SIMON 0 M 7‐Aug‐2014 S/P LMBTS WITH STENTED DSC
STERNUM
DR. SABARINATH MENON
387 377219 KASHINADH S.A 2 M 7‐Aug‐2014 PERIMEMBRANOUS VSD VSD CLOSURE
WITH INLET EXTENSION,
SEVERE PAH
DR. THOMAS MATHEW
388 362941 MUHAMMED ISHAM 3 M 8‐Aug‐2014 ACHD, SVASD, MILD PAH WARDENS PROCEDURE
.N
DR. BAIJU S.DHARAN
389 340914 SRI GANESH 2 M 11‐Aug‐2014 CCHD,VALVULAR ICR + RVOT PATCH
MOORTHY R. PA,VSD,PDA,SEV PAH,SR
DR. SABARINATH MENON
390 383178 PRAVEENA C P. 5 F 14‐Aug‐2014 CCHD, DILV, SVLV , SEV PS, BDG + ATRIAL SEPTECTOMY
CONF PA, PDA, REC SPELLS+
DR. BAIJU S.DHARAN
391 225069 MUTHUKRISHNAN.B 20 M 18‐Aug‐2014 S/P VSD+AV REPAIR REDOSTERNOTOMY+AVR # 29
(2007),SEV AR ,DIL LV,MILD CHVP
RVD,SR
DR. BAIJU S.DHARAN
392 376195 KRISHNADEV P 12 M 20‐Aug‐2014 SEVERE PR, DILATED RV, SR, REDOSTERNOTOMY + PVR # 23
MELEVILA S/P ICR+TAP FOR TOF(2003) PM
DR. SUDIP DUTTA BARUAH
393 373544 NAUHMAN BISHEER 14 M 21‐Aug‐2014 ACHD,SV ASD,PAPVC OF DOUBLE PATCH REPAIR
RUPV AND RMPV, SR
DR. THOMAS MATHEW
394 268764 MUHAMMED SUFYAN 8 M 22‐Aug‐2014 S/P ICR FOR TOF, SEV INF REDO ICR WITH MPA PLASTY
S. PS,GD LV, MODRVD,SR
69
Sl. No. HNO NAME AGE SEX DOS DIAGNOSIS PROCEDURE SURGEON
DR. SABARINATH MENON
395 383224 MALATHI S. 0 F 25‐Aug‐2014 SA, DORV WITH INLET VSD, BDG WITH CONFLUENCE & LPA
CAVCD, PA WITH PLASTY
CONFLUENCE & LPA
STENOSIS WITH PDA
DEPENDENT CIRCULATION,
RIGHT ARCH, SR
DR. BAIJU S.DHARAN
396 383835 B/O MARILYN 0 M 26‐Aug‐2014 OBSTRUCTED SC TAPVC, PRIMARY SUTURELESS REPAIR
CHRISTOPHER SEVERE PAH, SR
70
INTERESTING
CASES
71
INTERESTING CASES
ƒ TRAUMATIC AR WITH PSEUDOANEURYSM ASCENDING AORTA ƒ ANEURYSM EXCISION & REPAIR ƒ PULMONARY VALVE REPLACEMENT ƒ ENDOANEURYSMORRAPPHY FOR CONTAINED RUPTURE OF
ABDOMINAL AORTIC ANEURYSM ƒ CORONARY ARTERIOVENOUS (RA-LCX) FISTULA ƒ MOD-SEV PARAVALVULAR MR FOLLOWING VALVE DEHISCENCE,
SEV PAH, S/P DVR
ƒ EMERGENCY MODIFIED BT SHUNT WITH PDA STENT EXTRACTION
UNDER TCA
ƒ DIFFERENTIAL SATURATIONS IN 4 LIMBS, AN UNUSUAL
PRESENTATION IN ANOMALOUS ORIGIN RPA FROM AORTA
ƒ BLAISDELL PROCEDURE ƒ ENTANGLED GUIDE WIRE EXTRACTION
72
TRAUMATIC AR WITH
PSEUDOANEURYSM ASCENDING AORTA
DIAGNOSIS : FOREIGN BODY PENETRATING ASCENDING
AORTA WITH SACCULAR PSEUDOANEURYSM ASCENDING
AORTA WITH RCC TEAR WITH ACUTE AR, MILD MR, SEV TR, SEV
PAH, GD LV, SR
PROCEDURE: FOREIGN BODY EXTRACTION WITH EMERGENCY
AVR # 19 CHVP WITH EXCISION OF ANEURYSM &
AORTOPLASTY
HISTORY: 22 years old male with h/o fracture right clavicle presented with
DOE FC- III x 2 months & swelling B/L legs x 1 month. H/o K wire fixation
for fracture clavicle 7 months prior onset of DOE.
PHYSICAL EXAMINATION: B/L pedal edema (+). Pulse: 100/min-
regular, high volume. BP: 130/40mmHg. JVP raised. CVS - S1 S2 (+),
MDM (+) 3/6 at apex, EDM (+) 3/6 at aortic area. RS - NVBS (+), occ crups
(+).
INVESTIGATIONS:
Blood investigations : Normal.
CXR : Foreign body in anterior mediastinum (K wire ) in relation to great
vessels.CTR 55%. Mild right pleural effusion
ECHO : Hyperechoic shadow in the ascending Aorta which was tenting the
RCC causing severe AR
73
Flouroscopy : Pin to be moving with each heart beat
SURGICAL FINDINGS: No pericardial effusion. Dilated LV. Externally
the point of entry was at the right sterno-clavicular joint, internally the nail
had penetrated the pericardium above the SVC and the Ascending Aorta on it
anterior surface forming a saccular pseudoaneurysm of 3X2 cm approx. 3cm
from STJ. 4cm long metallic pin within Aorta penetrating RCC with
evidence of Acute Sev AR; others valvular structure normal. Coronary ostia
normal. LV contractility good. B/L pleura intact.
Aorto – RA Cannulation
CPB time: 90 mins. ACC time: 62 mins
PROCEDURE: Median sternotomy. Pericardium incised in inverted T
shape and hitched. Purse string suture placed around pseudoaneurysm, aorta
opened within purse string; FB extracted, Evaluated with TEE for AR and
decided to replace AV. Aorto-RA bypass instituted. Aorta cross clamped,
Aortotomy done and ostial cardioplegia given achieving prompt diastolic
arrest. Aortic leaflets assessed and excised, pledgeted 2-0 ethibond sutures
placed from Ao to LV, valve sized to and replaced with 19 CHVPValve
tested. Aortototmy closed with 4-0 prolene in two layers, Pseudoaneurysm
excised with tying of purse string suture. Additional pledgeted suture taken
and reinforced the wall in 2 layers, Heart deaired & Aorta declamped. Patient
came off bypass with adequate filling pressures with adrenaline & NA of
0.1mics/kg/min. Protamine started. Decannulated in stages. Two mediastinal
drains kept. Hemostasis achieved and confirmed. Incision closed in layers.
74
Figure 1: AP view showing the foreign Figure 2: Lateral chest x ray showing the
body and right ple ural effusion. foreign body within the cardiac silhouette.
Figure 3: Intraop T EE showing the foreign Figure 4: Intraop picture showing the
body tenting the RC C and causingsev AR point of entry just a point of entryinto the aorta.
The extruded K wire.
75
ANEURYSM EXCISION & REPAIR
DIAGNOSIS: SACCULAR ANEURYSM ASCENDING AORTA + DTA
ANEURYSM, GOOD LV, SR
PROCEDURE: EXCISION OF ANEURYSM WITH DACRON PATCH
REPAIR OF AORTA
HISTORY: 64 year old male with h/o angina on rest for 6 months. H/o
shoulder pain present. No other relevant history.
PHYSICAL EXAMINATION: PR: 76/min. BP: 126/78mmHg. CVS -
precordium normal. AI 5th ICS lat to MCL. S1 S2(+). No murmur. RS-
AEBE, clear, PA: Soft, no organomegaly. CNS - NAD.
INVESTIGATIONS:
Blood investigations: ESR 70mm/hr; rest normal.
CXR: CTR- 0.55, anuerysm shadow (+) extending onto right hemithorax
with calcific wall.
ECHO: LV- 45/20, EF- 77%, LA/Ao- 32/32, no RWMA, Good LV function
CT Chest: Thormbosed peripherally calcified saccular aneurysm from
proximal and mid ascending Ao with narrow neck. A fusisaccular aneurysm
from proximal and mid DTA with 2 small saccular outpouchings, one of
which is thrombosed and other showing perepheral calcification.
76
CX R : Anuerys m shadow (+) extendi ng onto righ t hemithora x with calcific wall.
CT Angio: Calcifie d saccular aneurysm fro m proxima l and mid a scending Ao with
narrow neck . A fusisac cular aneurysm from proximal an d mid DT A with 2 small
saccular outpouchings
SU RGICAL FINDIN GS: Perica rdial effusion absen t, No Ca rdiomegal y.
Aorta dilated just distal to sinus with saccular aneurysm arisingfrom rig ht
ante rolateralwall with10 X 5 cm at neckwith exten sion towards the rig ht
pleu ral cavity & compressing the right middle lobe. The wall o f aneurys m
partly calcific & the a neurysmal sac filled with old thrombus. Suspecte d
ulce ration of aortic wall in Ascen ding aorta. Normal tricuspid Aortid valve.
Coronary ostia norm al. LV contractility good. B/L pleura intact. Peri
cardium closed over aorta and RV.
Aorto RA cannulation.
CP B time: 74 mins ACC time: 25m ins. TCA time : 30sec.
77
PROCEDURE: Median sternotomy. Pericardium incised in inverted T
shape and hitched. Aortic, RA bypass instituted. Cardioplegia cannula
inserted. Aorta cross clamped, antegrade cardioplegia given & prompt
diastolic arrest achieved. The aneurysmal sac at neck transected & cleared of
old thrombus. Patient cooled & went on TCA and the distal ascending aorta
& proximal arch cleared of suspected clot. Came of TCA & clamp reapplied.
The defect in Aorta repaired with Dacron patch with 4-0 prolene continuous
suture. Heart vented through the root. Aorta declamped. Patient came off
bypass with adequate filling pressures with adrenaline of 0.1mics/kg/min.
The aneurysmal sac protruding onto right pleural cavity cleared of old
thrombus & plicated. 1 RV pacing wire placed. Protamine started.
Decannulated in stages. Two mediastinal drains kept. Hemostasis achieved
and confirmed. Incision closed in layers.
78
Surg ical picture s showing th e saccular aneurysm & Dacron patch repair of the aorta
Sur gical specim en: Thrombus evacuat ed from the ascending aorta. CXR : Post
surge ry xray showing no rmal expan ded right lun g.
79
PULMONARY VALVE REPLACEMENT
DIAGNOSIS: SEVERE PR, DILATED RV, SR, S/P ICR+TAP FOR TOF
(2003)
PROCEDURE: PVR # 23 PM
HISTORY: A 12 year old male born of NCM, 1st in birth order with birth
weight 3kg. Underwent ICR + TAP (2004) for TOF presented with DOE for
3-4 months. No other relevant history.
PHYSICAL EXAMINATION: PR: 108/min. SpO2- 98%. BP:
90/60mmHg. CVS: S1-Normal, S2- (+), 3/6 EDM (+) PA.
INVESTIGATIONS:
Blood investigations: Normal.
CXR: CTR 0.7, RAE, RV apex
ECG: SR, RBBB, PR- 140ms, QRS Axis- + 90'
ECHO: Normal coronary origin, MPA- 20mm, RPA- 16mm, LPA- 16mm,
No VSD/PDA, PR- 4+, RVSP- 20 + RA, MR- 1+, TR- 1+, EDV- 96, ESV-
39, EF- 59%, PV annulus- 24
MRI: Significant PR, confluent PA, RV enlarge
80
SU RGICAL FINDIN GS: Stern otomy sc ar (+) w ith 4 sternal wires,
adhesion betw een RV, RA with retrosternu m, Cardi omegaly ( +), SS, L C,
NRGA, RV dilated, R VOT patch extendi ng onto t he MPA with dilate d
MPA, Branch PAs ade quate size, Pulmona ry valve : Annulus dilated wit h
evid ence of se vere PR. B/L pleura open.
CP B time: 73 min
PR OCEDURE: Right f emoral vessels exposed. Redosternotom y. Adhesio n
bet ween RA, RV & retrosternum released. Aorta, M PA upto confluence, IVC
& SVC dissected. Heparinised, Aorto -bicaval bypass instituted. L A vent put
through RUPV. Transann ular incision placed over the R VOT patc h & p
ulmonary valve exp osed. An atomy acessessed. V alve leaflets excise d.
Ann ulus sized to 23 P M. 23# PM(Aortic) placed at pulmonary annulus (
posteriorlay er )using4-0prol enecontinuoussutureusingparachutte
tech nique. An terior wa ll augmented using BPP. Decannulated in stages. 1
RA and 1 RVpacing wir e taken. H eparin rev ersed.vLeft pleural, mediastin
al & r ight pleuro pericardial drains inserted. Hemostasis achieved. C hest
close d in l ayers.
CX R: Preop CX R & post o p CXR ( PM valve place d at pulmon ary position )
81
A B
C D
A. A fter redosternotomy sho wing adhesions over an terior surfac e. B -C. Pre vious TAP
excised & PVR with 23Peri mount ( Aortic ). D. Anterior layer a ugmented w ith BPP.
82
ENDOANEURYSMORRAPPHY FOR
CONTAINED RUPTURE OF
ABDOMINAL AORTIC ANEURYSM
DIAGNOSIS : CONTAINED RUPTURE OF ABDOMINAL AORTIC
ANEURYSM (JUXTARENAL) WITH LT.COMMON ILIAC ARTERY
OCCLUSION; HYPERTENSION; CORONARY ARTERY DISEASE-
STATUS POST PTCA TO RIGHT CORONARY ARTERY
PROCEDURE: ENDOANEURYSMORRAPPHY (AORTO TO RIGHT
COMMON ILIAC TO LEFT FEMORAL) USING 16X8 MM
ABSORBABLE BOVINE GELATIN COATED KNITTED POLYESTER
GRAFT + LEFT RENAL VEIN DIVISION + INFERIOR MESENTERIC
ARTERY REIMPLANTATION UNDER INTERRENAL CLAMP
HISTORY: 50years old male with abdominal pain x 3months of vague dull
aching character. No relation to food intake. No vomiting/ altered bowel
habits. No back pain/chest pain/dyspnoea. No claudication/rest pain. No h/o
stroke/ TIA/ MI/ angina. HTN (+). Recently detcted CAD-TVD for which he
underwent PTCA to RCA. ExSmoker.
PHYSICAL EXAMINATION: Moderately built. Tall and thin frame. No
pallor/icterus/cyanosis/edema. Pulse: 68/min. BP: Rt UL: 120/70mmHg
83
PERIPHERAL PULSES:
C B R U Fem Pop PT DP
Lt: 4+ 2+ 2+ 2+ 2+ ---- ---- 2+
Rt: 4+ 4+ 4+ 4+ 3+ 3+ 3+ ----
ABI - Lt = 0.6/Rt = 0.9. Lt femoral bruit (+).
No carotid bruit. Bounding pulses felt over Lt supraclavicular area.
P/A - soft, pulsatile vague mass felt in epigastrium ~ 4 x 3cm well above
umbilicus. Upper border not distinct. Chest/CVS/CNS - NAD.
INVESTIGATIONS:
Blood investigations: Normal.
CT Angiogram: Juxtarenal AAA of max. diameter 6.9cm. L2 vertebral
erosion. Lt CIA occlusion. Saccular aneurysm of Lt SCA origin ~3.5cm with
distal occlusion. Ectatic DTA. Mod stenosis of celiac A & SMA
Neck vessel doppler: Normal carotids. Reversal of flow in Lt vertebral due
to subclavian steal.
Renal Doppler: Normal
CAG: LAD - prox 60%. RCA - 90% distal. LCX - 90% distal
Echo: EF - 60%. No RWMA, grade I diastolic dysfunction
SURGICAL FINDINGS:
1. Contained rupture (posterior wall) 2. Inferior Mesenteric artery patent with good back bleed
84
3. Polar artery present on right side 4. Large bowel: normal in colour and peristalsis following anastomosis 5. Left Femoral artery: good caliber with minimal disease
PROCEDURE :
GROIN EXPLORATION: Curvilinear incision placed over left groin
(around 6-8 cm) with 2 cm incision above the inguinal ligament.
Subcutaneous tissue ligated with 2-0 Polyglactin suture. Deep tissues ligated
with 3-0 Silk. Left common, superficial and deep femoral arteries dissected
and looped
LAPAROTOMY: Midline incision from Xiphoid process to pubic
symphysis.Position of nasogastric tube confirmed. Abdominal retractor
placed and held in position. Transverse colon retracted up and held in moist
pads. Small bowel retracted to right and and wrapped in wet towels..
Retroperitoneum dissected over the infrarenal abdominal aorta starting from
right common iliac artery and proceeded towards the renal vein. The
dissection was maintained onto the right of the aorta. The dissection was
maintained betwwen Inferior mesenteric vein on the left and duodenum on
the right. Lymphatics were suture ligated with 3-0 Silk suture. DJ flexure
mobilised. Left Renal vein was identified, dissected and looped. The neck of
the aneurysm was proximal to the left Renal vein. Vascular clamps applied to
the left Renal vein. Left Renal vein divided preserving the Left gonadal vein
and left Suprarenal vein. The divided ends of left Renal vein was repaired
using 5-0 Polypropylene suture (Sweet's technique). Infrarenal and interrenal
aorta dissected. Interrenal clamp space created. Dissection performed over
the right common iliac artery (CIA). Clamp space over right CIA created.
Tunnelling done from Aortic bifurcation to left groin was performed taking
adequate precautions for lifting the ureter. Systemic Heparinization done (1
mg/kg). Graft length measured. Renoprotective measures administered (
Mannitol and Frusemide). Inahara-Pruitt shunt kept
85
ready for administration of Renoplegia solution. 16x8 mm Polyester graft cut
to the desired length and fashioned
PROXIMAL ANASTOMOSIS: Interrenal clamp (DeBAKEY aneurysm
clamp) placed. Bull dog clamp placed over the right CIA. Aneurysm opened.
Aneurysm wall was scored using cautery at the proposed site of incision.
Stay sutures were placed on the either side of the proposed site of incision
using 3-0 Polyester sutures. Aneurysm opened & the thrombus extracted. A
Foley's catheter was passed distally into the right CIA, inflated and gently
pulled out. Inferior Mesenteric artery was dissected and double looped. A
arterial embolectomy catheter ( FOGARTY) was passed into IMA and
inflated. Bleeding lumbar arteries were suture closed using 3-0 Polyester
sutures. T cut made at the proposed level of anastomosis. Stay sutures were
placed at the "T"cut end using 3-0 Silk sutures. Inahara-Pruitt (IP) shunt
inserted into the left Renal artery orifice. Renoplegia instilled through the IP
shunt. Anastomosis between the aorta and the 16 mm polyester graft started
from the posterior wall using 4-0 polypropylene (25mm needle) continuous
suture, buttressed with Teflon felt and completed (END TO END). Prior to
the completion of anastomosis, IP shunt removed. Right lower polar artery
was included in the anastomosis. Left Renal artery orifice was bevelled and
preserved during the proximal anastomosis. Suture line checked by shifting
clamp to graft. . The left limb of the graft tunnelled to the left groin after
checking the proper lie of the grafts. The limbs of the graft were fashioned
allowing a good play on the graft
DISTAL ANASTOMOSIS ( RIGHT CIA): The right CIA was looped.
The right CIA was ligated using umbilical tape supplemented by 1-0 braided
silk. Arteriotomy made in the right CIA (3-4 cms). The right limb of the graft
was anastomosed to the right CIA using 5-0 Polypropylene suture (END TO
SIDE), double strand technique. Prior to the completion of the right side
anastomosis. Blood was allowed to flow through the left limb. Backbleeding
allowed through the right CIA. The right limb of the
86
bifu rcated graft was opened mome ntarily. Adequate de airing wa s performe
d prio r to the completion of the anastomosis
INF ERIOR MESENT ERIC A RTERY (IMA) R EIMPLA NTATION :
The left limb of the graft's lie an d position verified. I MA was carrelled.A
rimofthecircumfere nceoftheleftlim bwasremoved. A nastomosis
perf ormed between the carrelled I MA and th e graft using 6-0 Polypropylen
e sutu re (SIDE TO SIDE), double strand technique. Adequate deairing was
perf ormed prior to the completion of the anastomosis.
DIS TAL AN ASTOM OSIS (LE FT CFA ): Left C FA, SFA and PF A
arteries were clamped. Arteriotomy made in the left C FA extending onto th
e Profunda Fem oris arter y. Left lim b of the g raft fashio ned. The left limb
of the graft were anastom osed to the commo n femoral artery onto the left
Profunda Fem oris arter y using 5-0 Polypro pylene suture (END TO SIDE),
double strand technique . Prior to the completion of the anastomosis,
adequate deairing was performed. Hemostasis ensured
Interrenal cla mp time:45 minutes. Post clamp release: good urine output
CT A NGIO : Infrarenal AAA of max. diameter 6.9cm. Ectati c DTA. Mod stenosis of celia c A & SMA
87
A. B .
C. D .
A. Surgical picture showing ex tent of aneur ysm with loo ping of left r enal vein. B. At the time of
deliv ering of renoplegia.C. Aft er completion of repair. D . Post op rec onstructed C T angio.
88
CORONARY ARTERIOVENOUS (RA-LCX)
FISTULA
DIAGNOSIS: CORONARY ARTERIOVENOUS (RA-LCX) FISTULA,
MOD-SEVERE TR, GD LV, SR
PROCEDURE: FISTULA LIGATION WITH DIRECT CLOSURE OF
FISTULOUS OPENING
HISTORY: 56years old female, postmenopousal, non diabetic, presented
with DOE FC- II & AOE FC- II-III for 3-4years. No other relevant history.
PHYSICAL EXAMINATION: HR: 75/min. BP: 135/80mmHg. CVS -
precordium normal, scar (-), apex left 5th ICS, S1 S2 (+).
INVESTIGATIONS:
Blood investigations: Normal
CXR: CTR 0.5, LV apex
ECG: AF with incomplete RBBB.
CAG: LMCA-margininaly dilated with large channel draining into RA, LAD
normal, LCX normal, LCA normal.
ECHO: LV- 52/37, EF- 55%, septal motion normal, , No clot/RWMA/PE,
arch (L), no CoA, MR 1+, TR 3+, AR 2+, LCA - origin dilated, A-V fistula
gradient = 31/15mmHg origin to BVL + PA origin, coronary AV fistula mod
TR, good LV function.
89
PRE OP TEE: LMCA, proximal LAD & LCX dilated, dilated tortuous
communication between LCX opening to RA with IAS. Saccular opening
into RA. RA/ RV Volume overload. Sev TR.
SURGICAL FINDINGS: RAE (+), RV enlarged, PA soft. Enlarged &
dilated origin of LCA. .Dilated and tortuous abnormal vessel arising from
LCA branch draining into RA near SVC-RA junction.
Aorto-bicaval cannulation.
CPB: 55 min, ACC: 13min.
POST OP TEE: No drainage from the fistulous communication to RA. No
RWMA
PROCEDURE: Median sternotomy, minimal thymus dissection,
pericardiotomy done. Patient Heparinised. Aorto-SVC-IVC cannulation,
bypass instituted. Aortic root dissected and origin of LCA visualised.
Abnormal vessel arising from LCA branch identified and skeletanised and
double looped with 2-0 silk. Aorta cross clamped. Cardioplegia given, heart
arrested promptly in diastole. SVC and IVC snugged, went on total bypass.
RA opened & fistulous opening identified. Opening closed with pericardial
patch. RA closed in two layers. Origin of the fistulous tract transfixed with 6-
0 prolene. SVC and IVC desnugged. Cardioplegia cannula removed after
confirming no intra cardiac air. Gradually came off bypass in stages.
Protamine given. Aorta decannulated. Adequate hemostasis achieved and
confirmed. Two mediastinal drains inserted. Chest closed in layers.
90
MOD-SEV PARAVALVULAR MR
FOLLOWING VALVE DEHISCENCE,
SEV PAH, S/P DVR
DIAGNOSIS: MOD-SEV PARAVALVULAR MR, VALVE
DEHISCENCE, SEV PAH, P/DVR (MAR&MAY 05) , RHD, PPI( VVI 05),
GDLV , NC
PROCEDURE: REDOSTERNOTOMY + MVR # 31SJM
HISTORY: A 55 year old male who underwent double valve replacement in
2005, following which he developed pseudomonas aeruginosa infective
endocarditis and underwent a re-double valve replacement with in a period of
45 days. He was asymptomatic for 5 years. The patient was re-admitted with
features of pulmonary edema & diagnosed with paravalvular MR.
PHYSICAL EXAMINATION: No Pallor, Cyanosis, Clubbing, pedal
oedema. P- 76/min, BP- 130/80 mm of Hg. CVS- VC + mitral area, ESM +
in Aortic area, PSM radiating to interscapular area at apex.RS : B/l normal
BS, basal creps (+) b/l.
INVESTIGATIONS:
Blood investigations: Normal
CXR: cardiomegaly, prosthtic valve seen, PPI leads in situ
ECG: Paced beats @75/m
91
ECHO: AV grad- 34/18mmHg, MV grad 12/ 4mmHg @76/m , GD LV /RV
function. Severe paravalvular MR.
Fluroscopy: Rocking movements of the Starr Edward (SEP) valve at mitral
position
SURGICAL FINDINGS: Median Sternotomy scar. Dense adhesions
present between sternum and heart (+), between right pleura and LA, RA &
IVC (+). Adhesion between right lung & pleura (+). Adhesions surrounding
aortic root & MPA (+). LA normal. No LA/LAA clot. 32 # SEP valve in situ
at mitral position with evidence of paravalvular MR (+) with dehisence of
more than 70% circumference. Pannus surrounding the sewing ring (+).
Aorto-bicaval cannulation
CPB time: 110 mins. Aortic cross clamp time: 60mins
Procedure: Left Femoral exposed. Redo sternotomy with ocillation saw.
Adhesions between sternum, pericardium and heart released. Pericardial
stays. Heparinization. Aorto - Bicaval cannulation, went on CPB. Aorta cross
clamped. Antegrade root tepid blood cardioplegia given. Heart arrested in
diastole. LA opened. MV assessed, SEP valve dissected out with blunt &
sharp dissection. Explantation of valve done. MV replaced with # 31 SJM (
SN 86376461) mechanical valve prosthesis using 16 2-0 ethibond sutures. 3
additional 2-0 ethibond sutures were taken at Aorto- Mitral region for
reinforcement. LA closure. De-airing done. Aortic cross clamp removed.1
RV and 1 skin wire placed. Came off bypass with support of NA at
0.1mics/kg/min. Protamine, decannulation. Hemostasis secured. 2
mediastinal drain and B/L pleural drain placed. Sternum closed in layers.
92
A. B.
C. D .
A. Mid esophageal 2 chamber vie w, the SEP has dehisced nea r the inferior wall of left ve ntricle
creating a large para-valvular space. In color flow Doppler, this spac e was filled by a large ec centric jet
seen origi nating from ou tside the sewi ng ring. B. M odified 4 cham ber view, the SEP in mitral position
showed the characteristic r ocking motion suggestive of dehiscence. C . 3D view of SEP using 3D zoom
showi ng attac hment of the valve only at th e aortic root a nd dehiscence of three-fourths of the circu
mference of the sewi ng ring. The characteristic r ocking motion is diagnostic of extensive prosthetic valv
e dehiscence. D. Per-op confirmed the TEE recon struction of th e dehiscence; the valve was extruded and
re-placed with a 31 St. Jude MastersTM
(St. Jude In c., Minneapolis, USA)
93
EMERGENCY MODIFIED BT SHUNT
WITH PDA STENT EXTRACTION
UNDER TCA
DIAGNOSIS: PA, IVS, PDA DEP PUL CIR S/P PDA STENT, PDA
SPASM, ARCH INJURY( LACERATION OF LEFT SUBCLAVIAN A
ORIGIN )
PROCEDURE: EMERGENCY RMBTS (3MM PTFE) + LPA BOVINE
PERICARDIAL PATCH PLASTY + LEFT SCA LIGATION + PDA
STENT EXTRACTION + PDA INTERRUPTION UNDER TCA
HISTORY: 12 day old child, born at 36 wk of pregnancy, 2nd of twin born,
Wt 2.1 kg, detected to have cyanosis at birth evaluated, diagnosed of
complex congenital heart diseasewith PDA dependent circulation. Underwent
PDA stenting with improved saturation. Patient presented again with
desaturation and hypotension after 2 days & tried for PDA stenting, failed
and suspected of PDA spasm and considered for emergency RBTS.
PHYSICAL EXAMINATION: HR 116/min, RR 36/min, saturation 48%,
CVS- S1 N, S2 single, No CE, 3/6 SM at PA, LLSB, Faint CM+. Chest clear.
PA- situs solitus.
94
INVESTIGATIONS:
Blood investigations: Normal
CXR: CTR 0.6, oligemic lung fields.
ECG: SR, PR 120, QRS axis +135, RAE, RVH, J point elevation in inferior
leads.
ECHO: SS, LC, Pulmonary atresia, Intact IVS, hypoplastic RV and TV,
apex formed by LV, 2ASDs R to L (each 2.5mm), Lt arch, No CoA, 3mm
PDA L to R, gr 30/10, PDA dependent Pulmonary circulation, MV annulus
9.5, TV annulus 6.5, DTA at dia 5.7, RPA 3.9, LPA 3.4.
SURGICAL FINDINGS: Child taken up for emergency surgery with
borderline haemodynamics, SpO2 of 60%, and on Adrenaline 0.1
mics/kg/min.
Hematoma extending from root of neck upto the Superior Mediastinum,
involving Ascending Aorta to origin of PDA. SS, LC, Left Arch, NRGA.
Transection of Left SCA at origin with active bleed. Laceration with active
bleed from the Aortic end of PDA. Pulmonary Atresia with small MPA with
fair sized confluent PA. Normal sized RPA. PDA stent extending into RPA
upto level of SVC. Aortic end of PDA not covered with stent. Intra luminal
shelf at the origin LPA causing LPA origin stenosis with normal size distal
LPA.
Aorto-bicaval cannulation
CPB time : 220 min; ACC time: 84 min; TCA time : 35 min.
PROCEDURE: Median sternotomy. Right lobe of thymus dissected and
excised. Hematoma surrounding the ascending aorta & Arch cleared
Pericardium opened and cradled. The Arch with the major branches dissected
& skeletonized. Right Pulmonary artery and innominate vein were
skeletonized & mobilised. PDA skelatonization tried but could not be
95
done due to friable tissues. Heparinized, Aorto bical cannulation done and
Patient cooled to 18 Degree C. Went into total bypass. Arch vessels clamped,
body drained, and went into TCA. Aortic end of Left SCA overswen with 7-
0 prolene and distal end of Left SCA overswen with 7-0 prolene. MPA
opened, stent extracted; incision on MPA extended over to origin of LPA and
bovine pericardial patch plasty done upto LPA origin. PDA divided between
transfixation sutures.Went onto low flow & hemostsis established. Came of
TCA, rewarming started. Dearing done & cross clamp released, and on
partial bypass markers sutures taken on Innominate artery and RPA. Side
biting clamp was placed on Innomimate artery and was opened. The
proximal anastomosis of 3mm PTFE shunt was made to innomiate artery
with 8-0 prolene. The shunt was placed posterior to innominate vein and lie
was checked. Side biting clamp applied to RPA & opened RPA along the
superior surface. The distal end of the the shunt was anastmosed to RPA with
8-0 prolene. Side biting clamps were released. Shunt flow checked. Came off
bypass in stages.Hemostatis was obtained. 2 atrial and 2 ventricular pacing
wires were placed. Pericardium kept opened. 1 mediastinal and 1 pericardial
drains were placed. Sternum stented and wound covered with sterile
membrane. Child was shifted to ICU with Inotropic support of Adrenaline
0.05mics for elective ventilation.
96
.
Surg ical picture: Avulsion o f LSCA from Aorta causi ng hematom a over the neck vessels
Surg ical Picture: Shelf in the LPA which prevented the engagem ent of stent.
97
DIFFERENTIAL SATURATIONS IN 4
LIMBS, AN UNUSUAL PRESENTATION IN
ANOMALOUS ORIGIN RPA FROM AORTA
DIAGNOSIS: ANOMALOUS ORIGIN RPA FROM AORTA, PDA, PFO,
SEVERE PAH, SR
PROCEDURE: REIMPLANTATION OF RPA TO MPA + PDA
INTERRUPTION
HISTORY: 2 1/2 month old male child, 1st born of NCM birth at term by
LSCS ( mal presentation), birth weight 3kg detected to have CHD at 8th day
of life. H/o bluish discoloration of skin & mucus membrane noticed while
crying. H/o respiratory distress on feeding. Failure to thrive (+), feeding
difficulty (+). No h/o spells/ squats/ RTI/ forehead sweating.
PHYSICAL EXAMINATION: Conscious, alert crying. No facial
dysmorphia. No oedema/icterus/pallor/cyanosis/clubbing. Body weight-
3.7kg. The lower limb saturations were 55 % and left upper limb saturations
were 73 % and right upper limb saturations were 84 %. HR: 136/min.
peripheral pulses B/L equal. CVS- precordium normal. AI at 5th ICS at lat to
MCL. S1 S2 (+), 3/6 ESM at PA. P2 loud. RS- clear AEBE. CNS- NAD.
INVESTIGATIONS:
Blood investigations: Normal.
CXR: CTR-0.55, PVH (+)
ECHO: LV-23/14, EJ Fr- 71%, AV- trileaflet, LA/Ao- 13/10, MV- 2
papillory muscles- normal, SS, LC, PVs- LA turbulance in Rt PVS (+) (?
98
increased flow). AVVA concordance, NRGA? Small LSVC, prox ceronaries
dilated, PDA R-L gradient 26/3mmHg. 2.3mm PDA. LA?LV volume
overload (+), Lt arch . No CoA. MPA continues as LPA (7.9mm). RPA
arising from ASc Ao7.2mm, RPA-9mm,RPA origin gradient of 16mmHg.
DTA diam 6.8mm, flow reversal noted in DTA. TR 3-4 (+). RVSP- 126 +
RA.
Discussion: For understanding this concept, the aorta can be divided into 3
segments, from the valve to the origin of the RPA, from RPA to the insertion
of the PDA and the third segment being from insertion of PDA onwards. The
right lung was getting it supply from the systemic run off via the ascending
aorta and the left lung was being supplied by the right ventricle, due to the
severely raised Rp, the child was shunting right to left shunt at the level of
the PDA causing preferential flow of desaturated blood maximally in the
descending thoracic aorta. The flow reversal in the aorta during diastole
caused it to flow back into the arch and ascending aorta. Due to the run of
into the RPA this flow reversal was augmented resulting in sequential lower
saturations in the left and right upper limbs
SURGICAL FINDINGS: SS,LC, NRGA, Aorta normal in calibre till RPA
origin site; beyond small in calibre, MPA dilated & tense continuing distally
as LPA, Dilated RPA arising from right posterolateral aspect of distal
Ascending Aorta, short tense PDA 0.5 X 1cm, normal pulmonary and
systemic venous drainage, RA enlarged, PFO (+), RV enlarged and
hypertrophied.
Aorto-bicaval cannulation
CPB: 98min, ACC: 9min.
PROCEDURE: Median sternotomy & Thymectomy done. Patch harvesting
pericardiotomy done & set aside for tanning and well created. Minimal
Aorta, PA, SVC and IVC dissected. Aortic, RA and IVC purse-strings taken,
heparinised, cannulated and Ao-bicaval bypass instituted. MPA &
99
bra nch PAs dissected u pto hilum. Ascending Aorta dissected upto origin of
arch vessels. PDA dis sected & skeletonised. Clamp applied on LPA & under
low flo w, PDA interruption done & transfixed. Marker stays taken o n RP A
& MPA ( MPA o pened bet ween the stays ). Aorta clampe d at RPA - Aorta
origin & distal RPA, divi ded & aor tic end o verswen. RPA- MP A
anastomosis donewith7-0 maxon contin oussuture.Aortic c ardiopleg ia
pur se-string takenandcannulated. Aortaclamped, antegradeaorticro ot
card ioplegia given, he art arres ted prom ptly in d iastole, myocardiu m
prot ectedwithtopicalcold saline.SVCandIVCsnugged,totalbypa ss
instituted.Rightatriot omy done,staysutures take n.PFO i dentified&
dilated.Rewa rming started. Deai redthrou ghroot,A ortadeclamped.R A
clos ed in sing le layer. SVC and I VC snares taken ou t. Heart picked up i n SR,
Atrial & ventricular pacing wires taken. Came off bypass in stages wit h optimal
fillin g pressures on AAI pacing w ith Dobuta mine 5mics. Hepari n rev ersed
with protamine. Decannulated in st ages. Right pleuro-p ericardial & med
iastinal dr ains insert ed, haemo stasis sec ured. Chest closed in layers.
Figure 1: Colour compare image on flow Figure 2: Pulse wave D oppler with diastolic
reve rsal in proxim al descending aorta. flow reversal in descen ding aorta.
1 00
Col our compare image showing th e origin of the RPA from aorta and MPA
continuing as L PA
S urgical picture showi ng looping of R PA
R eimplante d RPA to MPA
1 01
BLAISDELL PROCEDURE
DIAGNOSIS: INFRA RENAL AORTIC OCCLUSION, S/P RT AXILLO-
FEMORAL BYPASS,DM,HTN MILD CAD
PROCEDURE: BLAISDELL PROCEDURE (DESCENDING
THORACIC AORTA TO BIFEMORAL BYPASS)
HISTORY: 66 year old lady, retired nurse c/o worsening of lower limbs
pain x 1 1/2 months. Patient is a k/c/o infra renal short segment aortic stems
occlusive lesion & underwent Axillo- right femoral bypass in 2009 for CLI.
Patient was asymptomatic since surgery since till 5 years when symptoms
recurred and started worsening. At present she is having severe claudication
& rest pain in B/L lower limbs from buttock to foot. Associated disturbed
sleep present. H/o DM & HTN x 10 months/ Hypothyroidism (+) on Tab
Eltoxin regularly. No ulceration/discoloration/gangrene. No h/o
TIA/stroke/UL claudication.
PHYSICAL EXAMINATION: Nourished short stature. PR: 70/min. BP:
right UL- 160/90mmHg, Left UL- 120mmHg.
PERIPHERAL PULSES:
C B R Fem Pop PT DP
Lt: 4+ 3+ 3+ --- --- --- ---
Rt: 4+ 4+ 2+ --- --- --- ---
102
ABI- 0.5 B/L with HHD subcutaneously graft palpable along mid clavicular
line (1) non pulsatile
Per Abdomen: Soft, obese, no pulsatile mass, BS (+). Chest/CVS/CNS-
WNL
INVESTIGATIONS:
Blood investigations: Normal
CT Angio: Infra renal short Segment Aortic Occlusion. Thrombosed Axillo -
Rt femoral graft.
ECHO -EF-68%, No RWMA, no clot/PE/Vegetation
SURGICAL FINDINGS:
1. Descending Thoracic Aorta: Free of disease 2. Right femoral artery dissected distal to previous graft anastomosis and it
was atherosclerotic, plaque present, and tacking sutures placed before
anastomosis 3. Left Common femoral artery healthy and supple
POSITION: Stoney's position(shouldEr 80 degree to table edge and left hip
60 degree)
GROIN EXPLORATION
Curvilinear incision placed over both groins (around 6-8 cm) with 1/3rd
incision above the inguinal ligament. Subcutaneous tissue ligated with 2-0
Polyglactin suture. Deep tissues ligated with 3-0 Silk. Left common femoral,
and right superficial femoral artery dissected and looped
103
THORACOTOMY
Anterolateral Thoracotomy performed along 7th intercostal space. Muscles
cut in the line of skin incision with coagulation mode of diathermy,
anaesthetist communicated for taking lung down. Left pleural cavity entered.
Suction applied to the nasogastric tube. Diaphragm retracted inferiorly. Left
lung retracted superiorly after release inf pulmonary ligament. Mediastinal
pleura over the Descending Thoracic aorta (DTA) incised and dissected.
DTA dissected circumferentially and looped
TUNNELLING
"Curvilinear" shaped incision placed in the left flank (around 10cms).
Muscles of the abdominal wall cut along the line of of incision using cautery.
Peritoneum reflected off the retroperitoneum using sharp and blunt
dissection. Tunnel created in the peripheral part of diaphragm. Tunnell
created from left pleural cavity to left flank (retroperitoneum). Tunnel
extended from left flank to left groin and for second limb tunnel created from
left flank to right groin. 14/7 bifurcated Dacron gelatin coated Uni graft
(woven polyester graft) chosen. Graft length measured. Systemic
Heparinization done (1 mg/kg). Renoprotective measures administered (
Mannitol and Frusemide)
ANASTOMOSIS
Side biting Leemole clamp used for distal DTA clamping. Longitudinal
Aortotomy performed in the DTA (12-14mmcms). Arteriotomy widened by
applying aortic punch. Anastomosis performed using 5-0 Polypropylene
double needle hemoseal suture suture in double stranded tech (END TO
SIDE), Graft both limbs tunneled from left pleurlal cavity to right and left
groin in proper lie and with adequate play to prevent any tension on
anastomosis with extreme of movements
Post DTA clamp release: Good urine output
104
ENTANGLED GUIDE WIRE
EXTRACTION
DAGNOSIS: STUCK GUIDE WIRE IN RT COMMON ILIAC ARTERY
FOLLOWING BAV FOR ACHD-BICUSPID AORTIC VALVE, SEVERE
AORTIC STENOSIS
PROCEDURE: EXTRACTION OF ENTANGLED GUIDE WIRE FROM
RCIA & INTIMAL FLAP REPAIR
HISTORY: 2 yr 1 month old child first born out of NCM admitted with
DOE-FC II diagnosed with BAV with severe AS underwent BAV. Post
BAV, while attempting to take pullback gradient by Tracker catheter, V18
wire was pulled out from LV. On attempting to withdraw the wire, the wire
got entangled at common iliac artery bifurcation. Attempts of extraction of
wire with various catheter failed (cut pigtail, GL, dilator, snare )
PHYSICAL EXAMINATION: Patient conscious, oriented, alert. No pallor,
icterus, cyanosis, clubbing. P-90/min, BP-100/70, JVP NE, CVS: S1 N S2 N
split, ESM 4/6 at RUSB. Chest b/l NVB.
INVESTIGATIONS:
Blood investigations: Normal
CXR: CTR 0.5, LV apex.
106
ECG: SR, PR 160, QRS +45, R/S V1 8/12, V6 35/2.
ECHO: SS, LC, bicuspid aortic valve, AR O AO annulus 12mm, AS
gradient 73/37mm.
Ascending Aortic Angiogram (LAO 60 Cr 20): No AR. Aortic annulus
measured 12mm. Normal proximal coronaries. LVSP 156 Ed5. Ascending
Aorta 80/50. LV entered with AL -1 catheter and Terumo wire. Exchanged
for V18 wire. BAV done with 10 Tyshak - 3dilatations given. Post BAV
gradient (pull back) was 60mmHg. BAV done with 12 Tyshak baloon - 2
dilatation given. Post BAV, while attempting to take pullback gradient by
Tracker catheter, V18 wire was pulled out from LV.On attempting to
withdraw the wire, the wire got entangled at RCIA bifurcation. Descending
Aortic Angiogram (through LFA acess) showed dissection flap in Rt
common iliac artery . Rt internal iliac artery has suspicious thrombus with
reduced flow.
SURGICAL FINDINGS:
1) The giude wire was found to be coiled & entangled within the Rt CIA and
IIA 2) There was a small intimal dissection flap within the distal Rt CIA
PROCEDURE: 7cm horizontal incision about 2cm above and parallel to the
inguinal ligament & a vertical groin incison just above and below the sheath.
A plane was created above the peritoneum along the preperitoneal fatty layer.
The peritoneum was retracted to expose the retroperitoneal structures. Aortic
bifurcation was identified and the Rt common iliac artery was traced along
its course. The coiled part of cathether could be palpable within the CIA.
Common iliac artery was dissected and looped and adequate tissues were
mobilised for proper space for iliac artery clamping. Internal iliac artery was
also dissected and looped. For proper distal control, a vertical rt groin
incision was made proximal and distal to the femoral sheath which was
inserted to thr Rt Femoral artery. Dissection was proceeded
107
alon g the sh eath and the Rt femoral artery was dissecte d out bot h pro
ximally and distally. Rt femor al artery was looped with a va scular slin g.
Syt emic hepa rinisation was done. Clamps were placed in Rt CIA ,IIA and
Rt CF A. A longitudinal arteriotomy was mad e along t he Rt CIA extendin g
upt o Rt EIA. The guide wire was found to be coiled and entan gled with i n
the lumen of Rt IIA. T he femoral sheath w as remove d and the guide wi re
was cut at the puncture site. Later the rema ining gui de wire w as extracte d
via the arteriotomy.Ther e was a s mall intima l flap in t he distal p art of the
Rt CIA and a tagging suture was applied using Prolene 7- 0 to stabilise the
fla p. Thromboemb olectomy done till all clots w ere evacuated and fresh jet
of blo od spurted out from both pro ximal and distal en d of arteriotomy. Th e
was vessels w ere flush ed with he parinised saline. Arteriotomy was close d
usin g Prolene 5-0 (cont inous) sut ure. Hemostasis secu red and gauze
counts were tallied. Incision wa s closed i n layers.
Angiographic clips showing entangled g uide wire & attempts to retrieve the guide wire.
1 08
Perio perative photographs sho wing a) skeletanisation of right CIA b) showing guidewire within t
he lumen c) showing the entangled portion of guide wire
1 09